Healthcare Provider Details

I. General information

NPI: 1205109089
Provider Name (Legal Business Name): JAMES STEPHEN PLIMPER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2012
Last Update Date: 02/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 N FRIENDSWOOD DR
FRIENDSWOOD TX
77546-3747
US

IV. Provider business mailing address

102 N FRIENDSWOOD DR
FRIENDSWOOD TX
77546-3747
US

V. Phone/Fax

Practice location:
  • Phone: 281-992-3431
  • Fax: 281-992-4080
Mailing address:
  • Phone: 281-992-3431
  • Fax: 281-992-4080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number46187
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: