Individual
BLAKE CODY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
860 N FAIRFIELD RD, LAYTON, UT 84041-2725
(801) 546-6352
Mailing address
860 N FAIRFIELD RD, LAYTON, UT 84041-2725
(801) 546-6352
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
263348-1701
UT
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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