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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB MATTHEW BLACKHAM

Active

JACOB MATTHEW BLACKHAM is a Pharmacist healthcare provider located in HERRIMAN, Utah. NPI 1154553931 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · HERRIMAN, UT

Registration Details

NPI Number
1154553931
Provider Type
Individual
Gender
Male
NPI Issued
Aug 13, 2009 (16.962049309414 yrs)
Last Updated
Aug 13, 2009
License
7399708-1702 (UT)

Practice Information

Address
6982 COYOTE RIDGE CIR
HERRIMAN, UT, 840963534
Browse UT providers · Browse ZIP 84096
Phone
4352620806
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in HERRIMAN, UT

Name Credential NPI
ANNA LEE ADAMS RPH 1487879706
DR. BRIAN KEITH BRAEGGER PHARM.D 1366773111
DR. PATRICK SLIMAK PHARM.D. 1326329475
DR. CASEY HANSEN PHARMD 1104108547
DR. CHRISTINA NEALSON HACKETT PHARM.D. 1215346721
ANDRE LIAN PHARM.D. 1467822130
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.