Individual
JEFFREY WALLACE JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
(502) 287-6094
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4000
(502) 287-6094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0014882
OR
1835I0206X
Infectious Diseases Pharmacist
Primary
PHA-PHA-LIC-43413
MT
Other
Enumeration date
08/20/2015
Last updated
09/14/2023
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