Provider Demographics
NPI:1326453549
Name:DEMARCO, WILLIAM CARMELO (PHARMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CARMELO
Last Name:DEMARCO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N ZARAGOZA RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-2519
Mailing Address - Country:US
Mailing Address - Phone:915-860-1670
Mailing Address - Fax:915-860-0224
Practice Address - Street 1:800 N ZARAGOZA RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-2519
Practice Address - Country:US
Practice Address - Phone:915-860-1670
Practice Address - Fax:915-860-0224
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03438467OtherOHIO STATE BOARD OF PHARMACY
1699783142OtherEMPLOYER NPI
NMRP00009057OtherNEW MEXICO STATE BOARD OF PHARMACY
TX54066OtherTEXAS STATE BOARD OF PHARMACY