Provider Demographics
NPI:1134668023
Name:HARDY, JENNA LOUISE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:LOUISE
Last Name:HARDY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:LOUISE
Other - Last Name:MARESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 S. STATE ST.
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:KS
Mailing Address - Zip Code:67654
Mailing Address - Country:US
Mailing Address - Phone:785-877-2721
Mailing Address - Fax:785-874-4281
Practice Address - Street 1:901 E CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-5100
Practice Address - Country:US
Practice Address - Phone:785-827-0408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS100199183500000X
KS1-100199183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist