MEDICARE: DR. CHERESE 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	PS35191	FL

General Provider Information

NPI Number	:	1700293685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERESE JONES PHARMD

Provider Business Mailing Address
First Line	:	1150 W SUNRISE BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-7165
Country	:	US
Telephone Number	:	954-533-1244
Fax Number	:	954-306-6905

Provider Business Practice Location Address
First Line	:	1150 W SUNRISE BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-7165
Country	:	US
Telephone Number	:	954-533-1244
Fax Number	:	954-306-6905

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

Provider Enumeration Date	:	07/12/2014
Last Update Date	:	07/12/2014

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