Individual
THERESA JUNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401
(918) 683-3261
(918) 680-3998
Mailing address
30114 E. 676 RD, WAGONER, OK 74467
(918) 683-3261
(918) 680-3998
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9119
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9119
STATE LICENSE (PHARMACIST
OK
Enumeration date
10/04/2006
Last updated
07/08/2007
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