Individual
KIM MICHELLE PISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
412 OAKS XING, PLAINWELL, MI 49080-1900
(269) 685-9820
Mailing address
613 FAIRVIEW AVE NE APT 3, GRAND RAPIDS, MI 49503-1897
(405) 227-1526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412257
MI
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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