Individual
DR. GLENDA MARIE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5255
(208) 706-5253
Mailing address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5255
(208) 706-5253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4685
ID
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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