Provider Demographics
NPI:1225437106
Name:JONES, ASHLYNN AUTUMN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ASHLYNN
Middle Name:AUTUMN
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ASHLYNN
Other - Middle Name:AUTUMN
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1415 E SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2324
Mailing Address - Country:US
Mailing Address - Phone:954-888-8980
Mailing Address - Fax:954-888-8988
Practice Address - Street 1:1415 E SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-2324
Practice Address - Country:US
Practice Address - Phone:954-888-8980
Practice Address - Fax:954-888-8988
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS51211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist