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NPI Code Detail

MEDICARE: RAIFE DENIZ DEMIRER RPH

MEDICARE:   RAIFE DENIZ DEMIRER  RPH
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
1183500000XPharmacist051306898IL

General Provider Information

NPI Number : 1780536219
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAIFE DENIZ DEMIRER RPH
Provider Business Mailing Address
First Line : 37 TIMBER MEADOWS CT
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-5517
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 102 W VANDALIA ST
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-1910
Country : US
Telephone Number : 618-692-7251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ RAIFE DENIZ DEMIRER RPH” Practice Location

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