MEDICARE: DR. BRENDAN 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	R-15991	OK

General Provider Information

NPI Number	:	1376930081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDAN JONES PHARMD

Provider Business Mailing Address
First Line	:	7523 US HIGHWAY 277
Second Line	:
City	:	ELGIN
State	:	OK
Zip	:	73538-2161
Country	:	US
Telephone Number	:	580-492-5007
Fax Number	:

Provider Business Practice Location Address
First Line	:	7523 US HIGHWAY 277
Second Line	:
City	:	ELGIN
State	:	OK
Zip	:	73538-2161
Country	:	US
Telephone Number	:	580-492-5007
Fax Number	:	580-492-5090

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

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	03/17/2018

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Directions to “ DR. BRENDAN JONES PHARMD” Practice Location

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