Provider Demographics
NPI:1811968068
Name:JONES, TERRI L (RPH)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:TERRI
Other - Middle Name:L
Other - Last Name:HEATH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21039 WESLEY CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-6540
Mailing Address - Country:US
Mailing Address - Phone:302-858-6666
Mailing Address - Fax:302-907-1006
Practice Address - Street 1:38627 BENRO DR
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:DE
Practice Address - Zip Code:19940-3572
Practice Address - Country:US
Practice Address - Phone:302-907-1010
Practice Address - Fax:302-907-1006
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEA1-0002249OtherSTATE PHARMACIST LICENSE