Individual
JOSEPH DAVID JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-6760
Mailing address
878 OSPREY LOOP, CRESWELL, OR 97426-9754
(541) 513-3487
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009931
OR
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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