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Individual

DANIEL G JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
15812 E INDIANA AVE, SPOKANE VALLEY, WA 99216-1875
(509) 343-1116
(509) 444-8210
Mailing address
611 N IRON BRIDGE WAY STE 300, SPOKANE, WA 99202-4932
(509) 444-8888

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
IR00061853
WA
183500000X
Pharmacist
P6463
ID
183500000X
Pharmacist
Primary
PH60096490
WA

Other

Enumeration date
09/17/2009
Last updated
05/04/2021
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