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Individual

DR. MARY ELLEN PISANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 316-4610
(704) 316-9312
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 887-4530
(704) 887-4531

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
21586
NC
183500000X
Pharmacist
RP442871
PA
1835P1200X
Pharmacotherapy Pharmacist
Primary
21586
NC

Other

Enumeration date
09/10/2008
Last updated
10/15/2023
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