Provider Demographics
NPI:1821337379
Name:JONES-SCOTT, CAST S (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CAST
Middle Name:S
Last Name:JONES-SCOTT
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 1:1442 GREAT SHOALS DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-7088
Mailing Address - Country:US
Mailing Address - Phone:770-963-8745
Mailing Address - Fax:
Practice Address - Street 1:2414 SYLVESTER RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705-2469
Practice Address - Country:US
Practice Address - Phone:229-430-9119
Practice Address - Fax:229-430-9114
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH 015549183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist