Provider Demographics
NPI:1952821597
Name:DEMOND, JODEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JODEE
Middle Name:
Last Name:DEMOND
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 1:753 KILDARE LN
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-1575
Mailing Address - Country:US
Mailing Address - Phone:740-517-1743
Mailing Address - Fax:
Practice Address - Street 1:8730 WATERVILLE SWANTON RD
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43566-9726
Practice Address - Country:US
Practice Address - Phone:419-878-1040
Practice Address - Fax:419-878-1042
Is Sole Proprietor?:No
Enumeration Date:2017-06-25
Last Update Date:2017-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03226190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist