Carruth, Blake William

Carruth, Blake William is an individual health care provider with primary practice located at 1837 W 4700 S , Taylorsville UT 84129-1103. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Carruth, Blake William can be contacted via phone (801) 967-0682.

Contact Information

Primary practice address
1837 W 4700 S Taylorsville UT 84129-1103
Phone: (801) 967-0682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7077183-1701 Utah

Profile Details

NPI number 1306255849
LBN Legal business name Carruth, Blake William
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2014
Last updated Aug 8th, 2014 - about 11 years 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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