Provider Demographics
NPI:1750661351
Name:JONES, SHEREE THOMAS (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHEREE
Middle Name:THOMAS
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 1:12212 CATTAIL LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-3257
Mailing Address - Country:US
Mailing Address - Phone:904-268-3795
Mailing Address - Fax:904-298-2108
Practice Address - Street 1:42 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-2619
Practice Address - Country:US
Practice Address - Phone:904-298-2103
Practice Address - Fax:904-298-2108
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS19738183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist