Individual
BRIAN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 E 1300 S, RICHFIELD, UT 84701-3122
(435) 893-8470
Mailing address
PO BOX 323, ANNABELLA, UT 84711-0323
(435) 896-0378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4885827-1701
UT
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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