Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEBADIAH CODY BLACKHAM, PHARMD
Active Sole ProprietorPharmacist · LAYTON, UT
Registration Details
- NPI Number
- 1063865160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2016 (9.8022854624739 yrs)
- Last Updated
- Jul 13, 2016
- License
-
7640036-1701 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
860 N FAIRFIELD RDLAYTON, UT, 840412725Browse UT providers · Browse ZIP 84041
- Phone
- 8015466352
- Fax
- 8015463754
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in LAYTON, UT
| Name | Credential | NPI |
|---|---|---|
| MR. R. FERRIS DERBIDGE | RPH | 1558386235 |
| CHERA LEE NELSON | — | 1760408157 |
| MR. GARY JOHN DAWSON | R.PH. | 1083724934 |
| MR. CRAIG CRIPPEN | RPH | 1063592863 |
| GREG HANCOCK | RPH | 1124107644 |
| MELISSA G. HOLBROOK | RPH | 1114050994 |
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.