Provider Demographics
NPI:1184907669
Name:JONES, LUVAL CRYSTAL (PHARM D,)
Entity type:Individual
Prefix:DR
First Name:LUVAL
Middle Name:CRYSTAL
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARM D,
Other - Prefix:DR
Other - First Name:LUVAL
Other - Middle Name:CRYSTAL
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD,
Mailing Address - Street 1:7860 S COLES AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-4818
Mailing Address - Country:US
Mailing Address - Phone:773-885-8338
Mailing Address - Fax:773-374-1342
Practice Address - Street 1:3564 RIDGE RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3315
Practice Address - Country:US
Practice Address - Phone:708-895-7937
Practice Address - Fax:708-895-2697
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.288096183500000X
LAPST.019331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILJ520-5237-4839OtherDRIVER'S LICENSE
LAPST.019331OtherLOUISIANA BOAD OF PHARMACY