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Individual

DR. MARK PELLEGRINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD, DC

Contact information

Practice address
8417 BRISTOL FORD PL, CHARLOTTE, NC 28215-9398
(972) 989-9988
Mailing address
8417 BRISTOL FORD PL, CHARLOTTE, NC 28215-9398

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3771
NC
183500000X
Pharmacist
21788
NC

Other

Enumeration date
01/25/2012
Last updated
10/01/2013
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