Provider Demographics
NPI:1164698742
Name:FRENZEL, JEANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:
Last Name:FRENZEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 ALBRECHT BOULEVARD
Mailing Address - Street 2:NORTH DAKOTA STATE UNIVERSITY
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58105-2722
Mailing Address - Country:US
Mailing Address - Phone:701-231-8546
Mailing Address - Fax:
Practice Address - Street 1:1401 ALBRECHT BOULEVARD
Practice Address - Street 2:NORTH DAKOTA STATE UNIVERSITY
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58105-2722
Practice Address - Country:US
Practice Address - Phone:701-231-8546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4920183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist