Lisa Nicole Calliham

NPI #1760981971 in Bastrop, Texas

Provider Information

NPI Number: 1760981971
Entity Type: Individual
Name: Lisa Nicole Calliham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 3, 2018
Last Updated: Feb 3, 2018

Practice Location

Address: 1009 PECAN ST
City: Bastrop
State: Texas
ZIP Code: 78602-3220
Phone: (512) 791-3003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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