Individual
TRENTON JOHN JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D, CGP
Contact information
Practice address
1620 N WHITLEY DR, FRUITLAND, ID 83619-2129
(208) 452-7075
(208) 452-7446
Mailing address
1620 N WHITLEY DR, FRUITLAND, ID 83619-2129
(208) 452-7075
(208) 452-7446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0010809
OR
183500000X
Pharmacist
Primary
P5989
ID
Other
Enumeration date
04/26/2007
Last updated
03/17/2020
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