Provider Demographics
NPI:1073271649
Name:JONES, TORRI LYNNETTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:TORRI
Middle Name:LYNNETTE
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TORRI
Other - Middle Name:LYNNETTE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TORRI THOMAS
Mailing Address - Street 1:736 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-4545
Mailing Address - Country:US
Mailing Address - Phone:410-375-4094
Mailing Address - Fax:
Practice Address - Street 1:736 YALE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-4545
Practice Address - Country:US
Practice Address - Phone:410-375-4094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443541183500000X
MD15641183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP443541OtherPENNSYLVANIA LICENSE
MD15641OtherPHARMACIST LICENSE