Individual
AMANDA ANNE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 N 400 E, NORTH OGDEN, UT 84414-7217
(801) 689-1525
(801) 689-1531
Mailing address
2555 N 400 E, NORTH OGDEN, UT 84414-7217
(801) 689-1525
(801) 689-1531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2774278-1701
UT
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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