Individual
LESLIE GOLTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1680
Mailing address
1975 E FALCONHURST CIR, SANDY, UT 84092-3923
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
8749351-1701
UT
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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