Provider Demographics
NPI:1114366689
Name:JONES, GERI ELLIS (PHARMD,RPH)
Entity Type:Individual
Prefix:
First Name:GERI
Middle Name:ELLIS
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 1:113 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT OLIVE
Mailing Address - State:NC
Mailing Address - Zip Code:28365-1718
Mailing Address - Country:US
Mailing Address - Phone:919-635-0011
Mailing Address - Fax:919-635-1311
Practice Address - Street 1:113 N CENTER ST
Practice Address - Street 2:
Practice Address - City:MOUNT OLIVE
Practice Address - State:NC
Practice Address - Zip Code:28365-1718
Practice Address - Country:US
Practice Address - Phone:919-635-0011
Practice Address - Fax:919-635-1311
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist