Individual
JENENAH A FOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5941 E MCKELLIPS RD, MESA, AZ 85215-2754
(480) 830-6343
(480) 981-0156
Mailing address
815 N PEPPERTREE DR, GILBERT, AZ 85234-4920
(480) 227-1880
(480) 981-0156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S13522
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S13522
STATE LICENSE NUMBER
AZ
Enumeration date
11/03/2009
Last updated
11/03/2009
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