Individual
FREDERIC CLINTON JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8151 E 32ND ST, YUMA, AZ 85365-8401
(928) 344-6175
Mailing address
12248 S IRONWOOD DR, YUMA, AZ 85367-6154
(928) 342-1327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05888
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05888
PHARMACIST LICENSE
AZ
Enumeration date
04/10/2008
Last updated
11/03/2014
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