Individual
DR. JENNIFER M. PENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4545 S NOLAND RD, INDEPENDENCE, MO 64055-4744
(816) 478-1968
Mailing address
4924 S COACHMAN DR, INDEPENDENCE, MO 64055-6396
(816) 478-1968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001624750
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001024750
PHARMACY LICENSE
MO
Enumeration date
04/19/2007
Last updated
08/23/2023
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