Individual
CHRISTINA LOCCISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
N4730 BIRCH LN, IRON MOUNTAIN, MI 49801-9572
(718) 640-6053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
060803
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
060803
NY
Other
Enumeration date
02/11/2016
Last updated
11/18/2021
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