Provider Demographics
NPI:1679800718
Name:JONES, JERI L (RPH)
Entity Type:Individual
Prefix:
First Name:JERI
Middle Name:L
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 1:1710 FRY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5801
Mailing Address - Country:US
Mailing Address - Phone:281-492-7033
Mailing Address - Fax:281-492-8635
Practice Address - Street 1:1710 FRY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5801
Practice Address - Country:US
Practice Address - Phone:281-492-7033
Practice Address - Fax:281-492-8635
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist