Individual
JENNIFER PENROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
1935 N STAPLEY DR, MESA, AZ 85203-2749
(480) 610-4173
Mailing address
1935 N STAPLEY DR, MESA, AZ 85203-2749
(480) 610-4173
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
S016172
AZ
Other
Enumeration date
09/26/2009
Last updated
09/26/2009
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