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NPI Code Detail

MEDICARE: MR. WILLIAM OTTIS JONES RPH

MEDICARE: MR. WILLIAM OTTIS JONES RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS14535FL

General Provider Information

NPI Number : 1649554999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM OTTIS JONES RPH
Provider Business Mailing Address
First Line : 10393 CYPRESS LAKES DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-3645
Country : US
Telephone Number : 904-386-4931
Fax Number :
Provider Business Practice Location Address
First Line : 4901 GATE PKWY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-4405
Country : US
Telephone Number : 904-997-7002
Fax Number : 904-997-7009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2011
Last Update Date : 10/05/2011

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