Provider Demographics
NPI:1477994135
Name:OWENS, JONATHAN ERIC (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ERIC
Last Name:OWENS
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 1:162 NC HIGHWAY 33 E
Mailing Address - Street 2:
Mailing Address - City:PRINCEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27886-8582
Mailing Address - Country:US
Mailing Address - Phone:252-824-3800
Mailing Address - Fax:252-824-3810
Practice Address - Street 1:162 NC HIGHWAY 33 E
Practice Address - Street 2:
Practice Address - City:PRINCEVILLE
Practice Address - State:NC
Practice Address - Zip Code:27886-8582
Practice Address - Country:US
Practice Address - Phone:252-824-3800
Practice Address - Fax:252-824-3810
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist