Provider Demographics
NPI:1922609635
Name:DEMERS, JESSIE M (PHARMD)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:M
Last Name:DEMERS
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 1:1 RIVER CT APT 212
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3755
Mailing Address - Country:US
Mailing Address - Phone:508-330-8176
Mailing Address - Fax:
Practice Address - Street 1:193 BOSTON POST RD W
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1840
Practice Address - Country:US
Practice Address - Phone:508-229-0647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist