Individual
LISA VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21201 E OCOTILLO ROAD, QUEEN CREEK, AZ 85142
(480) 987-1615
Mailing address
3850 E SUNDANCE AVE, GILBERT, AZ 85297
(219) 869-0733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S0202189
AZ
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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