IndividualActive
Jennifer Blake, PHARMD
NPI 1396930632 · Pharmacotherapy Pharmacist · Salt Lake City, UT
Provider details
- NPI number
- 1396930632
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 5565622-8911 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
500 Foothill Blvd # 119
Salt Lake City, UT 84148-5153
Phone: (801) 582-1565
Approximate (ZIP-level) locationGet directions
Mailing address
1122 Eaglewood Loop
North Salt Lake, UT 84054-3361
Registry dates
- Enumerated
- 2007-09-10
- Last updated
- 2024-05-13
- Certified
- 2024-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.