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Individual

JACK MATTHEW JENKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2410 WILLOW STREET PIKE, LANCASTER, PA 17602-4849
(717) 464-3736
Mailing address
30 EVERGREEN DR, AIRVILLE, PA 17302-9108

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP460029
PA

Other

Enumeration date
11/21/2025
Last updated
11/21/2025
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