Provider Demographics
NPI:1598243164
Name:DEMEY, JESSICA ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:DEMEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 N SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-2339
Mailing Address - Country:US
Mailing Address - Phone:517-896-1143
Mailing Address - Fax:
Practice Address - Street 1:621 N MAIN
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:MI
Practice Address - Zip Code:48872-9704
Practice Address - Country:US
Practice Address - Phone:517-623-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-05
Last Update Date:2018-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist