Jennewine, Trevor

Jennewine, Trevor is an individual health care provider with primary practice located at 1990 14Th Ave Se , Albany OR 97322-8504. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Jennewine, Trevor can be contacted via phone (541) 812-2386.

Contact Information

Primary practice address
1990 14Th Ave Se Albany OR 97322-8504
Phone: (541) 812-2386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0014533 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0014533 Oregon

Profile Details

NPI number 1538559331
LBN Legal business name Jennewine, Trevor
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2015
Last updated Dec 17th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538559331 NPPES
Oregon Other RPH-0014533 OREGON BOARD OF PHARMACY

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