MEDICARE: MR. JABARI KWASI JONES PHARMD

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
1	183500000X	Pharmacist	PS34297	FL

General Provider Information

NPI Number	:	1740565878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JABARI KWASI JONES PHARMD

Provider Business Mailing Address
First Line	:	2703 PARK ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-7607
Country	:	US
Telephone Number	:	904-384-8929
Fax Number	:	904-384-3529

Provider Business Practice Location Address
First Line	:	2703 PARK ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-7607
Country	:	US
Telephone Number	:	904-384-8929
Fax Number	:	904-384-3529

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2011
Last Update Date	:	10/20/2011

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