Jacob Henricksen is a pharmacist in Kenosha, Wisconsin. Patients can reach him at 3726 22nd Ave, Kenosha or contact him on 262-654-6545. Active license number of Jacob Henricksen is 20472-40 for Pharmacist in Wisconsin. Jacob Henricksen is 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.
Complete Profile:
Jacob Henricksen speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Jacob Henricksen
Specialization:
Pharmacist
Credentials:
PHARMD
Gender:
Male
Location:
3726 22nd Ave, Kenosha, Wisconsin, 53140-5300
Phone:
262-654-6545
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Jacob Henricksen are as mentioned below.
NPI Number:
1265037188
NPI Enumeration Date:
30 Nov, 2020
NPI Last Update On:
30 Nov, 2020
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Henricksen are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
20472-40
Wisconsin
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11221 Synergy Dr Apt 366, Wauwatosa, Wisconsin
Zip:
53222-1351
Phone Number:
763-202-9618
Fax Number:
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Patients can reach Jacob Henricksen at 3726 22nd Ave, Kenosha, Wisconsin or can call on phone at 262-654-6545.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.