NPI 1114677655

Susan Danette Jensen, TT

Practitioner Pharmacy Technician Caldwell, ID

Practice location

Address: 4110 S 10th Ave, Caldwell, ID 83605-5706
Phone: (208) 402-0154

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence TT47289 (ID)

Other Pharmacy Technician providers in Idaho →

Registry record

NPI: 1114677655
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2022
Record last updated: 27 Mar 2022

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.