Provider Demographics
NPI:1104149665
Name:DEMEULEMEESTER, DAVID LOUIS (RPH)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LOUIS
Last Name:DEMEULEMEESTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 SPRUCE RD
Mailing Address - Street 2:PO BOX 1685
Mailing Address - City:BLOWING ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28605-6267
Mailing Address - Country:US
Mailing Address - Phone:828-295-9567
Mailing Address - Fax:828-295-9567
Practice Address - Street 1:2814 BLOWING ROCK ROAD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607
Practice Address - Country:US
Practice Address - Phone:828-268-0727
Practice Address - Fax:828-268-5093
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist