Individual
JENSEN SARAE KORNOKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5026 W US 52, NEW PALESTINE, IN 46163-9770
(317) 861-4838
Mailing address
421 E MARKET ST APT 117, INDIANAPOLIS, IN 46204-2860
(303) 249-0395
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028881A
IN
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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