MEDICARE: JUSTIN CLARK JONES

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	PD13653	AR

General Provider Information

NPI Number	:	1063051696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN CLARK JONES

Provider Business Mailing Address
First Line	:	516 E WOODRUFF AVE LOT B
Second Line	:
City	:	SHERWOOD
State	:	AR
Zip	:	72120-2667
Country	:	US
Telephone Number	:	501-337-6015
Fax Number	:

Provider Business Practice Location Address
First Line	:	6929 JFK BLVD STE 5
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-5397
Country	:	US
Telephone Number	:	501-835-6530
Fax Number	:

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

Provider Enumeration Date	:	12/30/2019
Last Update Date	:	05/29/2026

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Directions to “ JUSTIN CLARK JONES ” Practice Location

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