Provider Demographics
NPI:1760104210
Name:KARMO, DEMARCO JOSEPH
Entity Type:Individual
Prefix:
First Name:DEMARCO
Middle Name:JOSEPH
Last Name:KARMO
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 1:7796 WATFORD DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2881
Mailing Address - Country:US
Mailing Address - Phone:248-225-5143
Mailing Address - Fax:
Practice Address - Street 1:1800 E 8 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48203-1334
Practice Address - Country:US
Practice Address - Phone:313-892-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302414672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist