Provider Demographics
NPI:1760781686
Name:RONEY, JENNIFER WEEKS (PHARM D)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:WEEKS
Last Name:RONEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 746
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:GA
Mailing Address - Zip Code:31032-0746
Mailing Address - Country:US
Mailing Address - Phone:478-986-5454
Mailing Address - Fax:478-986-4473
Practice Address - Street 1:611 WEST CLINTON STREET
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:GA
Practice Address - Zip Code:31032-0746
Practice Address - Country:US
Practice Address - Phone:478-986-5454
Practice Address - Fax:478-986-4473
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH018253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist