NPI 1053913947

Tyler Scott Jensen

Practitioner Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Mequon, WI

Practice location

Address: 11558 N Port Washington Rd, Mequon, WI 53092-3416
Phone: (262) 241-7983
Fax: (262) 241-8231

Registered specialties

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary

Pharmacy Service Providers Taxonomy 1835P0018X Licence 19444-40 (WI)

Other Pharmacist providers in Wisconsin →

Registry record

NPI: 1053913947
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2020
Record last updated: 15 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.