Jean Demro, RPH
Individual provider Active NPI Pharmacist · Three Rivers, MI
NPI 1295011815 · NPPES record last updated Oct 27, 2011
Key facts
- NPI
- 1295011815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302027599 (MI)
- Practice address
- 301 S US Highway 131
Three Rivers, MI 49093-8833 - Phone
- (269) 279-9066
- Fax
- (269) 279-9188
- NPI assigned
- Oct 27, 2011
- 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 |
|---|---|---|---|
| 5302027599 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302027599 | MI | Yes |
Addresses
Primary practice location
301 S US Highway 131
Three Rivers, MI 49093-8833
Mailing address
301 S US Highway 131
Three Rivers, MI 49093-8833
Phone (269) 279-9066
Other providers in Three Rivers, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2011. 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.