Corrine Ellen Jensen, PHARMACIST

NPI #1467737361 in Greenfield, Wisconsin

Provider Information

NPI Number: 1467737361
Entity Type: Individual
Name: Corrine Ellen Jensen, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Oct 12, 2011
Last Updated: Oct 12, 2011

Practice Location

Address: 4260 S 76TH ST
City: Greenfield
State: Wisconsin
ZIP Code: 53220-2854
Phone: (414) 321-7603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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