Individual
CAROLINE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
HWY JUNCTION 57, RT9, CROWNPOINT, NM 87313
(505) 786-6344
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-6344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
070810
NY
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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