Provider Demographics
NPI:1679169544
Name:DEMERCHANT, VALERIE LAUREL (RPH)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:LAUREL
Last Name:DEMERCHANT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 281
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-0281
Mailing Address - Country:US
Mailing Address - Phone:207-649-2585
Mailing Address - Fax:207-877-7555
Practice Address - Street 1:140 ELM PLZ
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4936
Practice Address - Country:US
Practice Address - Phone:207-877-7552
Practice Address - Fax:207-877-7555
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist