Annalise Diane Jencson, PharmD
Pharmacist in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1861990368
StatusActive
Last updated in NPPESJan 30, 2018
Details
- NPI
- 1861990368
- Entity type
- Individual (NPI-1)
- Name
- Annalise Diane Jencson
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2018
- Last updated
- Jan 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5302040243 | MI | Yes |
| 183500000X | Pharmacist | PH100000547 | DC | |
| 183500000X | Pharmacist | RPH.03328751-3 | OH |
Practice location
1500 E Medical Center DrAnn Arbor, MI 48109-5000
Phone 734-936-4000
Mailing address
417 Felch StAnn Arbor, MI 48103-3201
Phone 419-277-1539
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