Individual
MR. WARREN GAYLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
615 S BALLAS RD, SAINT LOUIS, MO 63122-5314
(314) 251-6046
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6046
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
043770
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043770
MISSOURI BOARD OF PHARMACY
MO
Enumeration date
10/19/2021
Last updated
10/19/2021
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