Individual
DR. HOLLY JENSVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1510 COVINGTON AVE, PIQUA, OH 45356-2801
(937) 615-7020
(937) 615-7055
Mailing address
704 LAMBERT DR, PIQUA, OH 45356-5423
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03225158
OH
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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