Individual
DR. DERRICK JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
310 FAIRVIEW AVE, PONCA CITY, OK 74601-2001
(580) 762-6335
(580) 762-4210
Mailing address
310 FAIRVIEW AVE, PONCA CITY, OK 74601-2001
(580) 762-6335
(580) 762-4210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13409
OK
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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