Lisa B. Wall

NPI #1538451000 in Holladay, Utah

Provider Information

NPI Number: 1538451000
Entity Type: Individual
Name: Lisa B. Wall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 4714 HOLLADAY BLVD
City: Holladay
State: Utah
ZIP Code: 84117-5403
Phone: (801) 278-9767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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