Provider Demographics
NPI:1639452832
Name:JONES, HELEN ANN (RPH)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:ANN
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 1:1703 FREMONT DR
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-2405
Mailing Address - Country:US
Mailing Address - Phone:719-275-3319
Mailing Address - Fax:
Practice Address - Street 1:1703 FREMONT DR
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-2405
Practice Address - Country:US
Practice Address - Phone:719-275-3319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2013-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15771183500000X
IA18359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist