Provider Demographics
NPI:1649445966
Name:JONES, DAVID HOWARD (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HOWARD
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 1:541 DUNKIRK ROAD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2014
Mailing Address - Country:US
Mailing Address - Phone:410-218-1174
Mailing Address - Fax:443-444-6745
Practice Address - Street 1:541 DUNKIRK ROAD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2014
Practice Address - Country:US
Practice Address - Phone:410-218-1174
Practice Address - Fax:443-444-6745
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD73461835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric