IndividualActive
Lisa Kallas, PHARMD
NPI 1316374630 · Ambulatory Care Pharmacist · Midvale, UT
Provider details
- NPI number
- 1316374630
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- PH60292088 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
7495 S State St
Midvale, UT 84047-2013
Phone: (801) 213-9547
Fax: (801) 213-9553
Approximate (ZIP-level) locationGet directions
Mailing address
7495 S State St
Midvale, UT 84047-2013
Registry dates
- Enumerated
- 2013-10-01
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.