Provider Demographics
NPI:1346617552
Name:JONES, DANIEL EUGENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EUGENE
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 1:5120 CLEARFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MINERAL RIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:44440-9439
Mailing Address - Country:US
Mailing Address - Phone:330-717-7570
Mailing Address - Fax:
Practice Address - Street 1:11 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-1318
Practice Address - Country:US
Practice Address - Phone:330-286-0226
Practice Address - Fax:330-286-0269
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03233600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist