Individual
MRS. LISA M SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5901 DOUGLAS AVE, DES MOINES, IA 50322-3303
(515) 331-0599
(515) 331-0599
Mailing address
5901 DOUGLAS AVE, DES MOINES, IA 50322-3303
(515) 331-0599
(515) 331-0599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16629
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464925
—
IA
Enumeration date
11/13/2011
Last updated
11/13/2011
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