Individual
KAITLYN LOUISE JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
Mailing address
5310 S 165TH ST, OMAHA, NE 68135-6210
(319) 239-8384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-102039
KS
183500000X
Pharmacist
2012037982
MO
183500000X
Pharmacist
Primary
21668
IA
Other
Enumeration date
07/12/2012
Last updated
09/30/2021
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