Healthcare Provider Details

I. General information

NPI: 1538794268
Provider Name (Legal Business Name): JENSEN DEXTER PHARMACY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7067 DEXTER ANN ARBOR RD
DEXTER MI
48130-8568
US

IV. Provider business mailing address

7067 DEXTER ANN ARBOR RD
DEXTER MI
48130-8568
US

V. Phone/Fax

Practice location:
  • Phone: 734-426-6210
  • Fax: 734-580-2963
Mailing address:
  • Phone: 734-426-6210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN ROBERT JENSEN
Title or Position: OWNER/PRESIDENT
Credential: PHARMD
Phone: 734-426-6210