Individual
ROBERT EDWARD JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3825 S NOLAND RD, INDEPENDENCE, MO 64055-3344
(816) 254-6002
Mailing address
3825 S NOLAND RD, INDEPENDENCE, MO 64055-3344
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2019034289
MO
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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