Individual
MR. JOHN JAY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
80 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-1862
(609) 567-4275
(609) 567-4283
Mailing address
2150 7TH AVE, HAMMONTON, NJ 08037-4300
(609) 567-4275
(609) 567-4283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
271058
WV
183500000X
Pharmacist
Primary
28RI02273300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271058
WV PHARMACY LICENSE
WV
01
—
28RI02273300
NJ PHARMACY LICENSE
NJ
Enumeration date
04/13/2012
Last updated
04/13/2012
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