Provider Demographics
NPI:1811469505
Name:JONES, ANDREA FAITH (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:FAITH
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4006 BEECH LN UNIT 2
Mailing Address - Street 2:
Mailing Address - City:JB ANDREWS
Mailing Address - State:MD
Mailing Address - Zip Code:20762-5901
Mailing Address - Country:US
Mailing Address - Phone:303-775-9343
Mailing Address - Fax:
Practice Address - Street 1:4006 BEECH LN UNIT 2
Practice Address - Street 2:
Practice Address - City:JB ANDREWS
Practice Address - State:MD
Practice Address - Zip Code:20762-5901
Practice Address - Country:US
Practice Address - Phone:303-775-9343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty