Provider Demographics
NPI:1558921627
Name:JONES, CLAUDIA YVETTE (RPH)
Entity Type:Individual
Prefix:MISS
First Name:CLAUDIA
Middle Name:YVETTE
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 LAVENDER ST
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77640-1721
Mailing Address - Country:US
Mailing Address - Phone:409-719-7648
Mailing Address - Fax:409-832-2605
Practice Address - Street 1:655 LAVACA ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77705-3811
Practice Address - Country:US
Practice Address - Phone:409-835-4558
Practice Address - Fax:409-832-2605
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist