Individual
ALLAN DEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24760 HOSPITAL DRIVE, RED LAKE, MN 56671
(218) 679-0173
Mailing address
830 WINTER SUMAC RD NE, BEMIDJI, MN 56601-4375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
121129
MN
183500000X
Pharmacist
5482
ND
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
121129
MN
Other
Enumeration date
04/03/2014
Last updated
10/04/2019
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