Fowler, Jacob Chase

Fowler, Jacob Chase is an individual health care provider with primary practice located at 3435 E Pony Express Pkwy Ste 150 , Eagle Mountain UT 84005. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fowler, Jacob Chase can be contacted via phone (801) 753-5100.

Contact Information

Primary practice address
3435 E Pony Express Pkwy Ste 150 Eagle Mountain UT 84005
Phone: (801) 753-5100
Fax: (801) 753-5101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6870402-1701 Utah

Profile Details

NPI number 1407182892
LBN Legal business name Fowler, Jacob Chase
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2009
Last updated Jul 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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