Individual
MR. CHRIS MATHEW JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4420 OCOEE ST N, CLEVELAND, TN 37312-4833
(423) 472-8910
(423) 472-5398
Mailing address
4420 OCOEE ST N, CLEVELAND, TN 37312-4833
(423) 472-8910
(423) 472-5398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25921
TN
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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