Goltra, Leslie

Goltra, Leslie is an sole proprietor health care provider with primary practice located at 100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103. She recently has only one registered license in Pharmacy Service Providers / Pediatrics, which is considered as her primary health care specialty. Goltra, Leslie can be contacted via phone (801) 662-1680.

Contact Information

Primary practice address
100 N Mario Capecchi Dr Salt Lake City UT 84113-1103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pediatrics 1835P0200X 8749351-1701 Utah

Profile Details

NPI number 1790306488
LBN Legal business name Goltra, Leslie
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2020
Last updated May 4th, 2020 - about 4 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.

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