Individual
DANIEL RALPH JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1311 DRAPER PKWY, DRAPER, UT 84020-8567
(801) 571-0378
(801) 571-8406
Mailing address
1311 DRAPER PKWY, DRAPER, UT 84020-8567
(801) 571-0378
(801) 571-8406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5640029-1701
UT
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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