MEDICARE: DR. PATRICIA MARIE 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	PHA-18601	CO
2	183500000X	Pharmacist	16177-40	WI

General Provider Information

NPI Number	:	1952686545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA MARIE JONES PHARMD

Provider Business Mailing Address
First Line	:	9090 WEST 7TH PL
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215
Country	:	US
Telephone Number	:	303-274-1108
Fax Number	:

Provider Business Practice Location Address
First Line	:	9090 W 7TH PL
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-5437
Country	:	US
Telephone Number	:	303-274-1108
Fax Number	:

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

Provider Enumeration Date	:	10/15/2011
Last Update Date	:	10/15/2011

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