Provider Demographics
NPI:1821428715
Name:JENCHURA, KAREN ANN (RPH)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:JENCHURA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:DUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:9881 WEST 58TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002
Mailing Address - Country:US
Mailing Address - Phone:303-422-8008
Mailing Address - Fax:303-431-6674
Practice Address - Street 1:9881 WEST 58TH AVENUE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002
Practice Address - Country:US
Practice Address - Phone:303-422-8008
Practice Address - Fax:303-431-6674
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist