Provider Demographics
NPI:1740458116
Name:ARMSTRONG, JENIFER LYN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:LYN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:41 GRANDVIEW ST
Mailing Address - Street 2:1306
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-3000
Mailing Address - Country:US
Mailing Address - Phone:831-429-4253
Mailing Address - Fax:831-459-3564
Practice Address - Street 1:1156 HIGH ST
Practice Address - Street 2:MAIL STOP #24
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95064-1077
Practice Address - Country:US
Practice Address - Phone:831-459-2360
Practice Address - Fax:831-459-3564
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH56344183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist