Provider Demographics
NPI:1598354029
Name:JONES, STEVE A (PD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:A
Last Name:JONES
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:AR
Mailing Address - Zip Code:72360-2131
Mailing Address - Country:US
Mailing Address - Phone:870-295-4100
Mailing Address - Fax:870-295-4102
Practice Address - Street 1:311 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:AR
Practice Address - Zip Code:72360-2131
Practice Address - Country:US
Practice Address - Phone:870-295-4100
Practice Address - Fax:870-295-4102
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6866183500000X
ARPD07938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1396984498OtherDEANS PHARMACY #3