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NPI Code Detail

MEDICARE: MARTHA J JENSEN RPH

MEDICARE: MARTHA J JENSEN RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist24600TX

General Provider Information

NPI Number : 1639388937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA J JENSEN RPH
Provider Business Mailing Address
First Line : 15318 BROOK ARBOR CT
Second Line :
City : HOUSTON
State : TX
Zip : 77062-3633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 102 N FRIENDSWOOD DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-3747
Country : US
Telephone Number : 281-992-3431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/16/2007

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Directions to “ MARTHA J JENSEN RPH” Practice Location

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