Individual
MARY B PISTINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
W62 N190 WASHINGTON AVE, WALGREENS, CEDARBURG, WI 53012
(262) 375-3039
(262) 375-2368
Mailing address
518 W KENILWORTH CIRCLE, MEQUON, WI 53092
(262) 241-8243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9760-40
WI
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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