Provider Demographics
NPI:1225035231
Name:JONES, SHELIA R (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:R
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 SAWYERS RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-7541
Mailing Address - Country:US
Mailing Address - Phone:252-357-1947
Mailing Address - Fax:252-357-1217
Practice Address - Street 1:701 US HIGHWAY 158 W
Practice Address - Street 2:
Practice Address - City:GATES
Practice Address - State:NC
Practice Address - Zip Code:27937-9667
Practice Address - Country:US
Practice Address - Phone:252-357-1947
Practice Address - Fax:252-357-1217
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist