Provider Demographics
NPI:1336435791
Name:CHOINIERE, JENNIFER (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:CHOINIERE
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 1:16806 N 7TH ST
Mailing Address - Street 2:T-2236
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-2662
Mailing Address - Country:US
Mailing Address - Phone:602-794-3602
Mailing Address - Fax:602-794-3612
Practice Address - Street 1:16806 N 7TH ST
Practice Address - Street 2:T-2236
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-2662
Practice Address - Country:US
Practice Address - Phone:602-794-3602
Practice Address - Fax:602-794-3612
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14886183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist