Provider Demographics
NPI:1467628701
Name:JONES, DIANNA L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DIANNA
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8803
Mailing Address - Country:US
Mailing Address - Phone:910-215-9777
Mailing Address - Fax:910-235-3896
Practice Address - Street 1:244 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8803
Practice Address - Country:US
Practice Address - Phone:910-215-9777
Practice Address - Fax:910-235-3896
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist