Doctor Name: | MS. CAROLA JEAN JENSEN |
NPI Number: | 1487757324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | CPT-0000291 |
Business Practice Address: | 1775 Thompson Rd Coos Bay, OR - 974202125 |
Business Phone Number: | 5412698169 |
Business Fax Number: | |
Mailing Address: | 2592 Fir St, NORTH BEND |
State: | OR |
Postal Code: | 974591563 |
Phone Number: | 5412698485 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | CPT-0000291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |