Individual
RENEE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MALL RD, LOGANSPORT, IN 46947-2285
(574) 435-0131
(574) 735-0308
Mailing address
240 MALL RD, LOGANSPORT, IN 46947-2285
(574) 735-0131
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26020135A
IN
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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