Blake, Jennifer Sara

Blake, Jennifer Sara is an individual health care provider with primary practice located at 500 Foothill Blvd # 119 , Salt Lake City UT 84148-5153. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Blake, Jennifer Sara can be contacted via phone (801) 582-1565.

Contact Information

Primary practice address

500 Foothill Blvd # 119 Salt Lake City UT 84148-5153

Phone: (801) 582-1565

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Pharmacy Service Providers / Pharmacotherapy	1835P1200X	5565622-8911	Utah
Pharmacy Service Providers / Pharmacotherapy	1835P1200X	0202210339	Virginia
Pharmacy Service Providers / Pharmacotherapy	1835P1200X	5565622-1701	Utah

Profile Details

NPI number	1396930632
LBN Legal business name	Blake, Jennifer Sara
Credentials	PHARMD
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Sep 10th, 2007
Last updated	May 13th, 2024 - about 4 months ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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