Provider Demographics
NPI:1275248593
Name:MERCIER, DARREN
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:
Last Name:MERCIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-2153
Mailing Address - Country:US
Mailing Address - Phone:269-319-4010
Mailing Address - Fax:
Practice Address - Street 1:408 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-2153
Practice Address - Country:US
Practice Address - Phone:269-319-4010
Practice Address - Fax:269-659-5265
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020365901835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy