Individual
MARK LUCIAN DEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1745 MIAMI AVE, KINGMAN, AZ 86401-4020
(928) 542-5554
Mailing address
1745 MIAMI AVE, KINGMAN, AZ 86401-4020
(928) 542-5554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14157
AZ
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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