Individual
BRIAN CHARLES JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2012 CRYSTAL SPRING RD, TWO RIVERS, WI 54241-9368
(920) 793-1765
Mailing address
1500 WASHINGTON ST, TWO RIVERS, WI 54241-3045
(920) 794-1225
(920) 794-7091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9968
WI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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