Provider Demographics
NPI:1245557990
Name:JONES, JOHN RONALD (RPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:RONALD
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 1:6500 VINTAGE LN
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-3448
Mailing Address - Country:US
Mailing Address - Phone:205-477-4514
Mailing Address - Fax:
Practice Address - Street 1:6500 VINTAGE LN
Practice Address - Street 2:
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-3448
Practice Address - Country:US
Practice Address - Phone:205-477-4514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist