Provider Demographics
NPI:1083202428
Name:JONES, STEVEN J (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:JONES
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 1:156 HOLLOW TREE CT
Mailing Address - Street 2:
Mailing Address - City:LUGOFF
Mailing Address - State:SC
Mailing Address - Zip Code:29078-8618
Mailing Address - Country:US
Mailing Address - Phone:803-427-4442
Mailing Address - Fax:
Practice Address - Street 1:2534 BROAD ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-2238
Practice Address - Country:US
Practice Address - Phone:803-427-4442
Practice Address - Fax:803-425-8462
Is Sole Proprietor?:No
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist