Provider Demographics
NPI:1124541891
Name:JONES, KELLY WEST (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:WEST
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 1:2500 HOFFMEYER RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-7407
Mailing Address - Country:US
Mailing Address - Phone:843-773-2821
Mailing Address - Fax:843-773-2822
Practice Address - Street 1:2500 HOFFMEYER RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-7407
Practice Address - Country:US
Practice Address - Phone:843-773-2821
Practice Address - Fax:843-777-2822
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC65851835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy