Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mary Lisa Pagnucco, RPH, PHARMD, BCACP

Individual provider Pharmacist · NPI 1497924773

Dr. Mary Lisa Pagnucco, RPH, PHARMD, BCACP is a Pharmacist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

301 Michigan St NE Physician Assistant Studies Ste 164
Grand Rapids, MI 49503-3314
Phone: (616) 331-5985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302028914 (MI)

Record details

NPI number1497924773
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH , PHARMD , BCACP
Sole proprietorYes
NPI enumeratedFebruary 21, 2008
Last updated in NPPESMarch 3, 2017

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