Provider Demographics
NPI:1225327752
Name:DEENIK, LOUIS ZEEGER (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:ZEEGER
Last Name:DEENIK
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 SW ODEM MEDO RD
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-9573
Mailing Address - Country:US
Mailing Address - Phone:541-548-6041
Mailing Address - Fax:541-923-6048
Practice Address - Street 1:1651 SW ODEM MEDO RD
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-9573
Practice Address - Country:US
Practice Address - Phone:541-548-6041
Practice Address - Fax:541-923-6048
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist