Jacob Matthew Blackham

Pharmacist · Herriman, UT

Individual Active NPI

NPI number 1154553931

Practice location

6982 Coyote Ridge Cir
Herriman, UT 84096-3534
Phone
(435) 262-0806

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NPI record

NPI
1154553931
Entity type
Individual (Type 1)
Enumeration date
August 13, 2009
Last updated
August 13, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 7399708-1702 UT

About Jacob Blackham

Jacob Matthew Blackham is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 6982 Coyote Ridge Cir, Herriman, UT 84096-3534. The NPI number 1154553931 was assigned on August 13, 2009 and the record was last updated on August 13, 2009.

Jacob Blackham lists a license in the registry: #7399708-1702 (UT) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Matthew Blackham?

The NPI number is 1154553931.

What is the phone number of Jacob Blackham?

The phone number listed for the practice location is (435) 262-0806.

Where is Jacob Blackham located?

6982 Coyote Ridge Cir, Herriman, UT 84096-3534.

What is the taxonomy code for Jacob Blackham?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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