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NPI Code Detail

MEDICARE: MR. JAMES TOM JONES JR. P.D.

MEDICARE: MR. JAMES TOM JONES JR. P.D.
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
1183500000XPharmacistPD06801AR

General Provider Information

NPI Number : 1417140963
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES TOM JONES JR. P.D.
Provider Business Mailing Address
First Line : 4823 JFK BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-7314
Country : US
Telephone Number : 501-771-1971
Fax Number :
Provider Business Practice Location Address
First Line : 4823 JFK BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-7314
Country : US
Telephone Number : 501-771-1971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2007
Last Update Date : 08/18/2007

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Directions to “ MR. JAMES TOM JONES JR. P.D.” Practice Location

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