Lisa Ann Bullough, RPH
NPI #1942411285 in West Valley City, Utah
Provider Information
- NPI Number
- 1942411285
- Entity Type
- Individual
- Name
- Lisa Ann Bullough, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- May 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3555 W 3500 S
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84119-2539
- Phone
- (801) 963-6874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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