Provider Demographics
NPI:1073139044
Name:JONES, DEVIN EDWARD (PHARMD)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:EDWARD
Last Name:JONES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N72W13536 LUND LN UNIT 314
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-7104
Mailing Address - Country:US
Mailing Address - Phone:815-618-8957
Mailing Address - Fax:
Practice Address - Street 1:6442 N 76TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-6102
Practice Address - Country:US
Practice Address - Phone:414-353-5620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20286-40333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy