# JENSEN DRUG & FLORAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JENSEN DRUG AND FLORAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437270816
- **Authorized official:** REDGE JENSEN (PRES)
- **Authorized official phone:** (435) 528-3455

## Contact information

- **Practice address:** 77 S MAIN, GUNNISON, UT 84634-0807
- **Practice address phone:** (435) 528-3455
- **Practice address fax:** (435) 528-3776
- **Mailing address:** PO BOX 789, GUNNISON, UT 84634-0789
- **Mailing address phone:** (435) 528-3455
- **Mailing address fax:** (435) 528-3776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1282321703 | UT | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 07/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4601515 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 876137280005 | — | UT |