Provider Demographics
NPI:1891080446
Name:POST, JONE (DPH)
Entity Type:Individual
Prefix:
First Name:JONE
Middle Name:
Last Name:POST
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 N 121ST EAST AVE
Mailing Address - Street 2:TARGET T-2095
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-5358
Mailing Address - Country:US
Mailing Address - Phone:918-401-8001
Mailing Address - Fax:918-401-8001
Practice Address - Street 1:9010 N 121ST EAST AVE
Practice Address - Street 2:TARGET T-2095
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-5358
Practice Address - Country:US
Practice Address - Phone:918-401-8001
Practice Address - Fax:918-401-8001
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist