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Contact Information

LESLIE GOLTRA, PHARM.D.
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-662-1680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

1835P0200X
Indicates primary specialty

NPI Profile & details for LESLIE GOLTRA · (Female)

NPI Number 1790306488
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 05/04/2020
Last updated 05/04/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 8749351-1701
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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