DR. Jebadiah Cody Blackham, PHARMD

NPI #1063865160 in Layton, Utah

Provider Information

NPI Number: 1063865160
Entity Type: Individual
Name: DR. Jebadiah Cody Blackham, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 13, 2016
Last Updated: Jul 13, 2016

Practice Location

Address: 860 N FAIRFIELD RD
City: Layton
State: Utah
ZIP Code: 84041-2725
Phone: (801) 546-6352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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