Individual
JAYCEE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
505 W 100 S APT 308, SALT LAKE CITY, UT 84101-1985
(848) 210-7242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14072855-1701
UT
183500000X
Pharmacist
P10745
ID
1835P1300X
Psychiatric Pharmacist
Primary
90898
CA
Other
Enumeration date
03/25/2024
Last updated
04/29/2025
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