MICHAEL BLAIN

SALT LAKE CITY, UT
NPI1003138546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NM  RP00006710)
Additional Taxonomies183500000X Pharmacist
(Licence: UT  4920123-1701)
183500000X Pharmacist
(Licence: NV  17569)
Enumeration Date2010-02-25
Last Update Date2010-02-25
Business Address
Dr. MICHAEL BLAIN Pharm. D
1770 W 4100 S
SALT LAKE CITY, UT 84119-4750
Phone number: 801-977-0294
Mailing Address
Dr. MICHAEL BLAIN Pharm. D
1770 W 4100 S
SALT LAKE CITY, UT 84119
Phone number: