Basic Information
| Provider Information | |||||||||
| NPI: | 1003004060 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TRUMAN JONES | ||||||||
| FirstName: | MICHELE | ||||||||
| MiddleName: | DENISE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM. D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2171 MEADOWSWEET LN | ||||||||
| Address2: | |||||||||
| City: | STREETSBORO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442415908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304220094 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2181 E AURORA RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | TWINSBURG | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440871974 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304058080 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2007 | ||||||||
| LastUpdateDate: | 10/04/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 03-2-25314 | OH | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.