Provider Demographics
NPI:1174123152
Name:JONES, REBECCA L (RPH, PHARMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:L
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH, PHARMD
Mailing Address - Street 1:3200 JOHN WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-6085
Mailing Address - Country:US
Mailing Address - Phone:812-275-0415
Mailing Address - Fax:
Practice Address - Street 1:3200 JOHN WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-6085
Practice Address - Country:US
Practice Address - Phone:812-275-0415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021835A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist