Provider Demographics
NPI:1477164564
Name:TONEY, JARED (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:
Last Name:TONEY
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 1:102 E HIVELY AVE
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46517-2194
Mailing Address - Country:US
Mailing Address - Phone:574-522-2197
Mailing Address - Fax:574-522-9352
Practice Address - Street 1:102 E HIVELY AVE
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46517-2194
Practice Address - Country:US
Practice Address - Phone:574-522-2197
Practice Address - Fax:574-522-9352
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26027434A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist