Provider Demographics
NPI:1750696217
Name:MENN, JENNIFER LEE (PHARM D, RPH)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEE
Last Name:MENN
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28520 TOMBALL PKWY
Mailing Address - Street 2:HEB PHARMACY #574
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4546
Mailing Address - Country:US
Mailing Address - Phone:281-351-1972
Mailing Address - Fax:
Practice Address - Street 1:28520 TOMBALL PKWY
Practice Address - Street 2:HEB PHARMACY #574
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4546
Practice Address - Country:US
Practice Address - Phone:281-351-1972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist