Kallie Ann Jensen RPH

NPI 1770705535 - Pharmacist - 183500000X

NPI Details
NPI 1770705535
Gender Female
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1471 GRACE STREET SE
GRAND RAPIDS MI, 49506, US
Phone (616) 913-2007
Fax
Business Location
6971 9 MILE RD NE
ROCKFORD MI, 49341-9633, US
Phone (616) 690-0050
Fax
Toxanomy
Taxonomy Code 183500000X
License State Michigan
License Number 5302024237
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According to our database, Kallie Ann Jensen RPH NPI is 1770705535, taxonomy code is 183500000X and license number is 5302024237, license state is located at Michigan. Kallie Ann Jensen RPH physically located at 1471 Grace Street Se, Grand Rapids MI, 49506. NPI Number Kallie Ann Jensen RPH has the Individual type.

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1770705535 NPI number is provided on an as is basis without warranty of any kind. 1770705535 is maintained by the National Plan & Provider Enumeration System. The contents of Kallie Ann Jensen RPH are for informational purposes only.