Organization
JONES DRUG STORE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY SIMONS RPH (PRESIDENT)
(405) 742-8099
Entity
Organization
Contact information
Practice address
101 W MAIN ST, JONES, OK 73049-7586
(405) 399-2277
(405) 399-3277
Mailing address
101 W MAIN ST, JONES, OK 73049-7586
(405) 399-2277
(405) 399-3277
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-9139
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
02/17/2022
Last updated
02/17/2022
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