Clint L Jensen, Pharm.D.
Pharmacist in Chubbuck, ID. Individual provider (NPI-1).
NPI number1114200599
StatusActive
Last updated in NPPESSep 22, 2011
Details
- NPI
- 1114200599
- Entity type
- Individual (NPI-1)
- Name
- Clint L Jensen
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2011
- Last updated
- Sep 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | p4731 | ID | Yes |
Practice location
4845 Chubbuck AveChubbuck, ID 83202
Phone 208-237-3900 · Fax 208-237-4955
Mailing address
4845 Chubbuck AveChubbuck, ID 83202
Phone 208-237-3900 · Fax 208-237-4955
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All 29 Pharmacist providers in Chubbuck · All 390 providers in Chubbuck
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