Individual
LISA R. GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 S SIGNAL BUTTE RD, MESA, AZ 85209-1482
(480) 358-9731
Mailing address
1606 S SIGNAL BUTTE RD, MESA, AZ 85209-1482
(480) 358-9731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S012723
AZ
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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