Provider Demographics
NPI:1376143388
Name:JONES, BRITTANY CHARLOTTE (PHARM D)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CHARLOTTE
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12905 E 96TH ST N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-4719
Mailing Address - Country:US
Mailing Address - Phone:918-212-7041
Mailing Address - Fax:918-212-7042
Practice Address - Street 1:12905 E 96TH ST N
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4719
Practice Address - Country:US
Practice Address - Phone:918-212-7041
Practice Address - Fax:918-212-7042
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist