Provider Demographics
NPI:1225474950
Name:JONES, JASON CHAPMAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:CHAPMAN
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 1:405 CARLTON RD
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:GA
Mailing Address - Zip Code:30268-1052
Mailing Address - Country:US
Mailing Address - Phone:770-463-4031
Mailing Address - Fax:770-463-4946
Practice Address - Street 1:405 CARLTON RD
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:GA
Practice Address - Zip Code:30268-1052
Practice Address - Country:US
Practice Address - Phone:770-463-4031
Practice Address - Fax:770-463-4946
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH016123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist