Individual provider · Type 1 NPI
Jacob Matthew Blackham
Pharmacist · Herriman, UT
Practice location
6982 Coyote Ridge Cir
Herriman, UT 84096-3534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 7399708-1702 (UT) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1154553931
Jacob Matthew Blackham's National Provider Identifier is 1154553931, issued on Aug 13, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Herriman, UT. The record was last updated on Aug 13, 2009.