Individual
MR. EDDIE CLARK JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REG. PHARMACIST
Contact information
Practice address
1416 W OCALA ST, BROKEN ARROW, OK 74011-8231
(918) 455-1042
(918) 455-1042
Mailing address
1416 W OCALA ST, BROKEN ARROW, OK 74011-8231
(918) 455-1042
(918) 455-1042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9631
OK
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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