Individual
JEREMY DEAN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1900 NE 3RD ST STE 111, BEND, OR 97701-3888
(800) 748-3243
Mailing address
4500 SERGEANT RD, SIOUX CITY, IA 51106-4705
(712) 274-2949
(712) 274-8072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22223
IA
183500000X
Pharmacist
Primary
RPH0017215
OR
Other
Enumeration date
02/07/2020
Last updated
09/06/2020
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