Healthcare Provider Details

I. General information

NPI: 1760104210
Provider Name (Legal Business Name): DEMARCO JOSEPH KARMO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E 8 MILE RD
DETROIT MI
48203-1334
US

IV. Provider business mailing address

7796 WATFORD DR
WEST BLOOMFIELD MI
48322-2881
US

V. Phone/Fax

Practice location:
  • Phone: 313-892-4600
  • Fax:
Mailing address:
  • Phone: 248-225-5143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302414672
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: