Individual
JENNIFER LEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 UPPER RIVER RD, GALLIPOLIS, OH 45631-1836
(740) 446-8366
Mailing address
185 UPPER RIVER RD, GALLIPOLIS, OH 45631-1836
(740) 446-8366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-24570
OH
183500000X
Pharmacist
12816
AZ
183500000X
Pharmacist
PH00010371
WA
183500000X
Pharmacist
RP0006352
WV
Other
Enumeration date
08/30/2006
Last updated
07/26/2007
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