Individual
RYAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6280 HIGHWAY 3, BENTON, LA 71006-3492
(318) 965-3669
Mailing address
6280 HIGHWAY 3, BENTON, LA 71006-3492
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19813
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19813
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
07/19/2012
Last updated
07/19/2012
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