Individual
JEFFREY JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
620 NORTHWESTERN DR, STORM LAKE, IA 50588
(712) 213-8065
(712) 213-8066
Mailing address
PO BOX 309, STORM LAKE, IA 50588-0309
(712) 213-8065
(712) 213-8066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17102
CO
183500000X
Pharmacist
Primary
20512
IA
Other
Enumeration date
04/24/2013
Last updated
10/08/2018
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