Provider Demographics
NPI:1972711687
Name:JONES, STEVEN CECIL (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CECIL
Last Name:JONES
Suffix:
Gender:M
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:PO BOX 88
Mailing Address - Street 2:02 CHURCH RD
Mailing Address - City:CLIFF
Mailing Address - State:NM
Mailing Address - Zip Code:88028-0088
Mailing Address - Country:US
Mailing Address - Phone:575-542-2330
Mailing Address - Fax:575-542-2375
Practice Address - Street 1:530 DEMOSS ST
Practice Address - Street 2:
Practice Address - City:LORDSBURG
Practice Address - State:NM
Practice Address - Zip Code:88045
Practice Address - Country:US
Practice Address - Phone:575-542-2330
Practice Address - Fax:575-542-2375
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP4726183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist