Provider Demographics
NPI:1366202020
Name:JONES, DAVID RALPH
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:RALPH
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5055 SUN VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89433-8293
Mailing Address - Country:US
Mailing Address - Phone:775-870-4301
Mailing Address - Fax:
Practice Address - Street 1:5055 SUN VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:NV
Practice Address - Zip Code:89433-8293
Practice Address - Country:US
Practice Address - Phone:775-870-4301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV24028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist