=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831805811
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JONES & JOSLIN, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2023
-----------------------------------------------------
Last Update Date | 04/13/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4249 HIGHWAY 411 STE 5
-----------------------------------------------------
City | MADISONVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37354-1544
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-442-9727
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4249 HIGHWAY 411 STE 5
-----------------------------------------------------
City | MADISONVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37354-1544
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-442-9727
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST/OWNER
-----------------------------------------------------
Name | ROBERT DAVID JONES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 423-442-9727
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------