Most Relevant Information
Provider Data
| NPI Number: | 1003292772 |
| Provider Name: | LISA VALLE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | S0202189 |
Most Important Dates
| Enumeration Date: | 08/05/2015 |
| Last Updated: | 08/05/2015 |
Provider Practice Location
21201 E OCOTILLO ROAD
QUEEN CREEK
AZ
85142
Practice Location Phone/Fax
| Phone: | 4809871615 |
| Fax: |
Provider Mailing Location
3850 E SUNDANCE AVE
GILBERT
AZ
85297
Provider Mailing Phone/Fax
| Phone: | 2198690733 |
| Fax: |