Provider Demographics
NPI:1518280304
Name:JENSEN, KARA L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:L
Last Name:JENSEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KARA
Other - Middle Name:L
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1060 GAFFNEY RD
Mailing Address - Street 2:BASSETT ARMY COMMUNITY HOSPITAL
Mailing Address - City:FORT WAINWRIGHT
Mailing Address - State:AK
Mailing Address - Zip Code:99703-5002
Mailing Address - Country:US
Mailing Address - Phone:907-361-5360
Mailing Address - Fax:
Practice Address - Street 1:US ARMY HEALTH CLINIC WIESBADEN
Practice Address - Street 2:FLUGPLATZ ERBENHEIM
Practice Address - City:WIESBADEN
Practice Address - State:HESSEN
Practice Address - Zip Code:65205
Practice Address - Country:DE
Practice Address - Phone:314-590-1322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45487183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist