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Jacob Henricksen, PHARMD
Pharmacist in Kenosha, Wisconsin
NPI 1265037188

Jacob Henricksen is a Pharmacist based in Wauwatosa, WI. Jacob Henricksen practices in Kenosha, WI and has the professional credentials of PHARMD. The NPI Number for Jacob Henricksen is 1265037188 and holds a License No. 20472-40 (Wisconsin).

The current practice location address for Jacob Henricksen is 3726 22Nd Ave, Kenosha, WI and can be reached out via phone at 262-654-6545.

Location: 3726 22Nd Ave, Kenosha, WI, 53222-1351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265037188
Provider Name
Jacob Henricksen
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
3726 22Nd Ave, Kenosha, WI, 53222-1351
Phone Number
262-654-6545
Fax Number
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3726 22Nd Ave
City
Kenosha
State
Wisconsin
Zip
53140-5300
Phone Number
262-654-6545
Fax Number
person
Provider Business Mailing Address Details
Address
3726 22Nd Ave
City
Kenosha
State
Wisconsin
Zip
53140-5300
Phone Number
262-654-6545
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
20472-40 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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