Provider Demographics
NPI:1437351772
Name:JONES, WILLIAM C (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:C
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 1:104 MEAD CIR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-2102
Mailing Address - Country:US
Mailing Address - Phone:318-397-1588
Mailing Address - Fax:318-397-7638
Practice Address - Street 1:2713 N 7TH ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4627
Practice Address - Country:US
Practice Address - Phone:318-396-6180
Practice Address - Fax:318-397-7638
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist