Most Relevant Information
Provider Data
NPI Number: | 1003482704 |
Provider Name: | KARLIE JENSEN RPH |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 7765292 |
Most Important Dates
Enumeration Date: | 06/02/2021 |
Last Updated: | 06/02/2021 |
Provider Practice Location
11506 S 4000 W
SOUTH JORDAN
UT
840096070
Practice Location Phone/Fax
Phone: | 8014469995 |
Fax: | 8015193423 |
Provider Mailing Location
11506 S 4000 W
SOUTH JORDAN
UT
840096070
Provider Mailing Phone/Fax
Phone: | 8014469995 |
Fax: | 8015193423 |