Provider Demographics
NPI:1144497942
Name:JONES, JAMES ELLIOTT JR (BSPHARM)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ELLIOTT
Last Name:JONES
Suffix:JR
Gender:M
Credentials:BSPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 FRAZIER AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71701-4872
Mailing Address - Country:US
Mailing Address - Phone:281-300-8259
Mailing Address - Fax:870-836-5957
Practice Address - Street 1:745 FRAZIER AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-4872
Practice Address - Country:US
Practice Address - Phone:281-300-8259
Practice Address - Fax:870-836-5957
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR05368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist