Individual
LISA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 73RD ST, DES MOINES, IA 50324-1311
(515) 274-6359
Mailing address
751 NE 58TH AVE, DES MOINES, IA 50313-1569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17967
IA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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