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NPI 1467749044

IndividualActive

Alan Jensen

NPI 1467749044 · Pharmacist · Idaho Falls, ID

Provider details

NPI number: 1467749044
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: P4239 (ID)

Practice location

590 E 17th St

Idaho Falls, ID 83404-6154

Phone: (208) 523-1090

Fax: (208) 528-8681

More ID providers

Mailing address

590 E 17th St

Idaho Falls, ID 83404-6154

Registry dates

Enumerated: 2011-07-05
Last updated: 2011-07-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alan Jensen — NPI 1467749044, Idaho Falls, ID | NPI Central