Provider Demographics
NPI:1992036149
Name:JEFFRIES, JOHN R (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:R
Last Name:JEFFRIES
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 1:66840 BELMONT-MORRISTOWN ROAD
Mailing Address - Street 2:MORRISTOWN PHARMACY
Mailing Address - City:BELMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43718
Mailing Address - Country:US
Mailing Address - Phone:740-782-1230
Mailing Address - Fax:740-782-1582
Practice Address - Street 1:66840 BELMONT-MORRISTOWN ROAD
Practice Address - Street 2:MORRISTOWN PHARMACY
Practice Address - City:BELMONT
Practice Address - State:OH
Practice Address - Zip Code:43718
Practice Address - Country:US
Practice Address - Phone:740-782-1230
Practice Address - Fax:740-782-1582
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03216620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist