Individual
SARAH JORGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3915 GATEWAY DR, EAU CLAIRE, WI 54701-8166
(715) 834-5966
Mailing address
S4410 RYGG RD, EAU CLAIRE, WI 54701-9757
(715) 590-4203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11695-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11695-040
WISCONSIN PHARMACIST LICENSE
WI
Enumeration date
04/07/2021
Last updated
04/07/2021
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