Organization
C MICHAEL JONES MDPC
Active
Other names
JONES PROFESSIONAL BLDG PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MCCLURE RPH (PHARM MGR)
(901) 685-5969
Entity
Organization
Contact information
Practice address
7710 WOLF RIVER CIR, GERMANTOWN, TN 38138-1734
(901) 685-5969
(901) 665-6424
Mailing address
7710 WOLF RIVER CIR, GERMANTOWN, TN 38138-1734
(901) 685-5969
(901) 665-6424
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
0000003590
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4434798
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4434798A
—
TN
Enumeration date
12/27/2006
Last updated
06/30/2010
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