Bullough, Lisa Ann

Bullough, Lisa Ann is an sole proprietor health care provider with primary practice located at 3555 W 3500 S , West Valley City UT 84119-2539. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bullough, Lisa Ann can be contacted via phone (801) 963-6874.

Contact Information

Primary practice address
3555 W 3500 S West Valley City UT 84119-2539
Phone: (801) 963-6874
Fax: (801) 965-9953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 144972 Utah

Profile Details

NPI number 1942411285
LBN Legal business name Bullough, Lisa Ann
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers