Provider Demographics
NPI:1992536106
Name:DEMING, ABIGAIL LEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:LEE
Last Name:DEMING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:LEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3220 SHERMAN PARC CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WI
Mailing Address - Zip Code:53037-8955
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3220 SHERMAN PARC CIR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WI
Practice Address - Zip Code:53037-8955
Practice Address - Country:US
Practice Address - Phone:262-385-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20451-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist