Clint L Jensen, PHARM.D.

NPI #1114200599 in Chubbuck, Idaho

Provider Information

NPI Number: 1114200599
Entity Type: Individual
Name: Clint L Jensen, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Sep 22, 2011
Last Updated: Sep 22, 2011

Practice Location

Address: 4845 CHUBBUCK AVE
City: Chubbuck
State: Idaho
ZIP Code: 83202
Phone: (208) 237-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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