Sandra L Demarest, R.PH.
Individual provider Active NPI Pharmacist · Morton, WA
NPI 1023368024 · NPPES record last updated Sep 17, 2012
Key facts
- NPI
- 1023368024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH00009457 (WA)
- Practice address
- 377 South 2ND St.
Morton, WA 98356 - Phone
- (360) 496-5902
- Fax
- (360) 496-3215
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00009457 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demarest Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00009457 | WA | Yes |
Addresses
Primary practice location
377 South 2ND St.
Morton, WA 98356
Mailing address
PO Box 1139
Morton, WA 98356-0020
Phone (360) 496-5902
Other providers in Morton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.