Individual
JIMMIE WAYNE PLUMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3001 HIGHWAY 90 W, AVONDALE, LA 70094-2758
(504) 437-0650
(504) 437-0541
Mailing address
150 MAUD OLIVE DR, BELLE CHASSE, LA 70037-8106
(504) 656-8095
(504) 437-0541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14513
LA
183500000X
Pharmacist
14907
AL
183500000X
Pharmacist
T-8525
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1217760
—
LA
Enumeration date
03/19/2007
Last updated
06/01/2008
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