Provider Demographics
NPI:1336570530
Name:JONES, BARBARA GAYLE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:GAYLE
Last Name:JONES
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 1:1110 BATTLEGROUND DR
Mailing Address - Street 2:
Mailing Address - City:IUKA
Mailing Address - State:MS
Mailing Address - Zip Code:38852-1021
Mailing Address - Country:US
Mailing Address - Phone:662-423-9330
Mailing Address - Fax:662-423-6380
Practice Address - Street 1:1110 BATTLEGROUND DR
Practice Address - Street 2:
Practice Address - City:IUKA
Practice Address - State:MS
Practice Address - Zip Code:38852-1021
Practice Address - Country:US
Practice Address - Phone:662-423-9330
Practice Address - Fax:662-423-6380
Is Sole Proprietor?:No
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-07243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist