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Chuck Ronald Jensen, pharmacist

Pharmacist in Renton, WA. Individual provider (NPI-1).

NPI number1750488391
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1750488391
Entity type
Individual (NPI-1)
Name
Mr. Chuck Ronald Jensen
Credential
pharmacist
Sex
Male
Sole proprietor
No
Enumeration date
Sep 17, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacistph00011778WAYes

Practice location

17801 108th Ave Se
Renton, WA 98055-6420

Phone 425-235-5383

Mailing address

4513 Ne 25th Ct
Renton, WA 98059-3533

Phone 425-235-6672

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