Doctor Name: | MRS. CHERYL ELIZABETH CONNER JENSEN |
NPI Number: | 1619256237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BPHARM |
License Number: | PH00016220 |
Business Practice Address: | 8825 34th Ave Ne Ste A Tulalip, WA - 982718085 |
Business Phone Number: | 3607162660 |
Business Fax Number: | 3607163660 |
Mailing Address: | 8825 34th Ave Ne Ste A, TULALIP |
State: | WA |
Postal Code: | 982718085 |
Phone Number: | 3607162660 |
Fax Number: | 3607163660 |
NPI Enumeration Date: | 08/12/2011 |
NPI Last Update Date: | 08/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | PH00016220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |