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Jacob Smith
NPI 1003417510 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4627 S 900 E
Salt Lake City, UT 84117 - Phone
- (801) 261-3818
- Organisation at this address
- Walmart Inc.
Wal-Mart Stores, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah