MRS. Connie Jean Fogg-Jenkins

NPI #1275818940 in Alsip, Illinois

Provider Information

NPI Number: 1275818940
Entity Type: Individual
Name: MRS. Connie Jean Fogg-Jenkins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 13, 2011
Last Updated: Oct 13, 2011

Practice Location

Address: 12290 S PULASKI RD
City: Alsip
State: Illinois
ZIP Code: 60803-1405
Phone: (708) 385-2006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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