Provider Demographics
NPI:1487695938
Name:JONES, SUZANNE ELIZABETH (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:ELIZABETH
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SUZANNE
Other - Middle Name:WHITTAKER
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1245 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-1200
Mailing Address - Country:US
Mailing Address - Phone:435-634-8044
Mailing Address - Fax:435-251-2413
Practice Address - Street 1:571 E 400 S
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3716
Practice Address - Country:US
Practice Address - Phone:435-251-2400
Practice Address - Fax:435-251-2413
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT3796OtherSTATE PHARMACIST LICENSE