Individual
DR. BLAKE FRANCISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
7859 S 3200 W, WEST JORDAN, UT 84088-5230
(801) 255-7557
(801) 266-4876
Mailing address
5469 W HARVESTMILL DR, WEST JORDAN, UT 84081-1794
(503) 858-0046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7684410-8911
UT
183500000X
Pharmacist
RPH-0013242
OR
Other
Enumeration date
10/31/2012
Last updated
04/10/2017
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