Individual
CLARICE TENNESSEN-JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 447-5787
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2025033174
MO
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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