Organization
JENSEN DRUG & FLORAL INC
Active
Other names
JENSEN DRUG AND FLORAL
Organization subpart
No
Provider details
NPI number
Authorized official
REDGE JENSEN (PRES)
(435) 528-3455
Entity
Organization
Contact information
Practice address
77 S MAIN, GUNNISON, UT 84634-0807
(435) 528-3455
(435) 528-3776
Mailing address
PO BOX 789, GUNNISON, UT 84634-0789
(435) 528-3455
(435) 528-3776
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1282321703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4601515
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
876137280005
—
UT
Enumeration date
04/03/2007
Last updated
07/22/2011
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