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Jebadiah Blackham, PHARMD
NPI 1063865160 · on the registry since 2016 · sole proprietor
Practice
- Address
- 860 N Fairfield Rd
Layton, UT 84041 - Phone
- (801) 546-6352
- Fax
- (801) 546-3754
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
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
- 2016-07-13
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