Provider Demographics
NPI:1073599650
Name:JONES, KRISTEN K (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:K
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:WHEATLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82201-0009
Mailing Address - Country:US
Mailing Address - Phone:307-322-4113
Mailing Address - Fax:
Practice Address - Street 1:1551 COTTONWOOD AVE
Practice Address - Street 2:
Practice Address - City:WHEATLAND
Practice Address - State:WY
Practice Address - Zip Code:82201-3414
Practice Address - Country:US
Practice Address - Phone:307-322-4113
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist