Individual
SUZANNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 N JOHN WAYNE DR, WINTERSET, IA 50273-1232
(515) 462-2880
Mailing address
904 N JOHN WAYNE DR, WINTERSET, IA 50273-1232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19308
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19308
STATE PHARMACIST LICENSE
IA
Enumeration date
01/24/2019
Last updated
01/24/2019
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