Provider Demographics
NPI:1144558321
Name:CLAUSEN, JANE (PHARMD)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:CLAUSEN
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 1:113 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:IA
Mailing Address - Zip Code:50003-1443
Mailing Address - Country:US
Mailing Address - Phone:515-993-3644
Mailing Address - Fax:515-993-4714
Practice Address - Street 1:113 N 9TH ST
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003-1443
Practice Address - Country:US
Practice Address - Phone:515-993-3644
Practice Address - Fax:515-993-4714
Is Sole Proprietor?:No
Enumeration Date:2009-11-25
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20719183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist