Jeremy Dean Jansen, Pharm.D.
Pharmacist in Bend, OR. Individual provider (NPI-1).
NPI number1164054052
StatusActive
Last updated in NPPESSep 6, 2020
Details
- NPI
- 1164054052
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Dean Jansen
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2020
- Certification date
- Sep 6, 2020
- Last updated
- Sep 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RPH0017215 | OR | Yes |
| 183500000X | Pharmacist | 22223 | IA |
Practice location
1900 Ne 3rd St Ste 111Bend, OR 97701-3888
Phone 800-748-3243
Mailing address
4500 Sergeant RdSioux City, IA 51106-4705
Phone 712-274-2949 · Fax 712-274-8072
Other practice locations
4500 Sergeant Rd
Sioux City, IA 51106-4705
Sioux City, IA 51106-4705
Phone 712-274-2949 · Fax 712-274-8072
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