Individual
DR. LEON K. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
863 W 4TH ST N, MIDDLETON, ID 83644-5296
(208) 585-2445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6390
ID
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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