Provider Demographics
NPI:1336540921
Name:MCPHERSON, MARY LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:LYNN
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:20 N PINE ST # S405
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1142
Mailing Address - Country:US
Mailing Address - Phone:410-706-3682
Mailing Address - Fax:410-706-4725
Practice Address - Street 1:312 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1221
Practice Address - Country:US
Practice Address - Phone:410-244-7032
Practice Address - Fax:410-244-7090
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD108401835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy