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Individual

LISA JANE KILLAM-WORRALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2084
Mailing address
700 SPARROW DR, SAGINAW, TX 76131-2911
(181) 722-3542

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
40852
TX

Other

Enumeration date
10/03/2018
Last updated
10/03/2018
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