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Individual

JACOB EDWARD HAMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 213-8841
Mailing address
5950 SULTAN CIR, MURRAY, UT 84107-6930
(801) 755-8136

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6646682-1701
UT
183500000X
Pharmacist
6646682-8911
UT

Other

Enumeration date
07/24/2012
Last updated
07/24/2012
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