MEDICARE: DR. JOHN DEMSKY PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302039440	MI

General Provider Information

NPI Number	:	1295258671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN DEMSKY PHARMD

Provider Business Mailing Address
First Line	:	6250 S CEDAR ST STE 2
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-5700
Country	:	US
Telephone Number	:	517-887-3539
Fax Number	:	517-887-3549

Provider Business Practice Location Address
First Line	:	6250 S CEDAR ST STE 2
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-5700
Country	:	US
Telephone Number	:	517-887-3539
Fax Number	:	517-887-3549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2017
Last Update Date	:	07/18/2017

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Directions to “ DR. JOHN DEMSKY PHARMD” Practice Location

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