NPI 1003138546

Michael Blain, PHARMD

Practitioner Pharmacist Salt Lake City, UT

Practice location

Address: 1770 W 4100 S, Salt Lake City, UT 84119-4750
Phone: (801) 977-0294
Fax: (801) 747-1550
Mailing address: 1770 W 4100 S, Salt Lake City, UT 84119

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RP00006710 (NM)

Other Pharmacist providers in Utah →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 4920123-1701 (UT)

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 17569 (NV)

Registry record

NPI: 1003138546
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Feb 2010
Record last updated: 25 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.