Provider Demographics
NPI:1528391281
Name:JONES, TABITHA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TABITHA
Middle Name:
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 1:200 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:SMITHERS
Mailing Address - State:WV
Mailing Address - Zip Code:25186
Mailing Address - Country:US
Mailing Address - Phone:304-442-7500
Mailing Address - Fax:
Practice Address - Street 1:200 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:SMITHERS
Practice Address - State:WV
Practice Address - Zip Code:25186-0000
Practice Address - Country:US
Practice Address - Phone:304-442-7500
Practice Address - Fax:304-442-2156
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist