Individual
JOHN RICHARD JENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
6666 S SHERIDAN RD, SUITE 100, TULSA, OK 74133-1756
(918) 493-2727
(918) 493-2990
Mailing address
2631 E.74 TH PL, TULSA, OK 74136
(918) 488-8166
(918) 493-2990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9726
OK
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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