Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB HENRICKSEN, PHARMD
Active Sole ProprietorJACOB HENRICKSEN, PHARMD is a Pharmacist healthcare provider located in KENOSHA, Wisconsin. NPI 1265037188 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · KENOSHA, WI
Registration Details
- NPI Number
- 1265037188
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2020 (5.6900139773313 yrs)
- Last Updated
- Nov 30, 2020
- License
-
20472-40 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3726 22ND AVEKENOSHA, WI, 531405300Browse WI providers · Browse ZIP 53140
- Phone
- 2626546545
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| MICHELLE M PERANTONI | PHARM.D | 1285720649 |
| ERIN MERRITT | PHARMD | 1164654695 |
| MRS. YELENA IVANOVA | — | 1265754485 |
| MRS. MICHELLE RENEE CLEMENTS | RPH | 1669794889 |
| KAITLIN ZARLETTI | PHARMD | 1215219043 |
| TARA LYN ZERZANEK | PHARMD | 1467737197 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.