Provider Demographics
NPI:1225092612
Name:JONES, LARRY C (RPH)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:C
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 1:2400 S UNIVERSITY ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-5946
Mailing Address - Country:US
Mailing Address - Phone:559-734-4184
Mailing Address - Fax:
Practice Address - Street 1:5201 W GOSHEN AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-8619
Practice Address - Country:US
Practice Address - Phone:559-738-9487
Practice Address - Fax:559-732-3938
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH29885183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist