Individual
JACOB CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL BLVD, PHARMACY 119, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17968
NE
183500000X
Pharmacist
Primary
PD16636
AR
Other
Enumeration date
04/09/2024
Last updated
11/20/2025
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