Individual
DR. DEMARKO REN TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7320 GRAVOIS AVE, SAINT LOUIS, MO 63116-1021
(314) 351-6728
Mailing address
11025 SAINT GIRARD LN, SAINT ANN, MO 63074-1213
(314) 236-1268
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020025888
MO
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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