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NPI Code Detail

MEDICARE: DARIUS JONES CPHT

MEDICARE: DARIUS JONES CPHT
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
1183700000XPharmacy Technician0230031392VA

General Provider Information

NPI Number : 1033814942
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIUS JONES CPHT
Provider Business Mailing Address
First Line : 3600 TIDEWATER DR
Second Line :
City : NORFOLK
State : VA
Zip : 23509-1436
Country : US
Telephone Number : 757-462-0637
Fax Number :
Provider Business Practice Location Address
First Line : 3600 TIDEWATER DR
Second Line :
City : NORFOLK
State : VA
Zip : 23509-1436
Country : US
Telephone Number : 757-462-0637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2023
Last Update Date : 03/31/2023

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