Kallas, Lisa

Kallas, Lisa is an individual health care provider with primary practice located at 7495 S State St , Midvale UT 84047-2013. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is her primary health care specialty. Kallas, Lisa can be contacted via phone (801) 213-9547.

Contact Information

Primary practice address
7495 S State St Midvale UT 84047-2013
Phone: (801) 213-9547
Fax: (801) 213-9553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH60292088 Washington
Pharmacy Service Providers / Pharmacist 183500000X 5601412-1701 Utah
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH60292088 Washington
Pharmacy Service Providers / Ambulatory Care 1835P2201X 5601412-1701 Utah

Profile Details

NPI number 1316374630
LBN Legal business name Kallas, Lisa
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Mar 31st, 2022 - about 4 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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