Provider Demographics
NPI:1912229170
Name:JONES, BRENT M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:M
Last Name:JONES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 CAPITAL AVE SW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49037-8665
Mailing Address - Country:US
Mailing Address - Phone:269-963-1569
Mailing Address - Fax:269-965-5445
Practice Address - Street 1:200 CAPITAL AVE SW
Practice Address - Street 2:SUITE 200
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037-8665
Practice Address - Country:US
Practice Address - Phone:269-963-1569
Practice Address - Fax:269-965-5445
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034075183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist