Provider Demographics
NPI:1811303225
Name:CAL JONES LLC
Entity type:Organization
Organization Name:CAL JONES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CALNAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:864-553-2276
Mailing Address - Street 1:21 WEATHERBY DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-5807
Mailing Address - Country:US
Mailing Address - Phone:864-553-2276
Mailing Address - Fax:
Practice Address - Street 1:961 MONTEBELLO DR
Practice Address - Street 2:SUITE 2
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609
Practice Address - Country:US
Practice Address - Phone:864-553-2276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy