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Individual
MR. JOHN JAY JENSEN
Active
Individual
MR. JOHN JAY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
271058
WV
183500000X
Pharmacist
Primary
28RI02273300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271058
WV PHARMACY LICENSE
WV
01
—
28RI02273300
NJ PHARMACY LICENSE
NJ
Enumeration date
04/13/2012
Last updated
04/13/2012
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