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General NPI Number Information
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NPI Number | 1407798739
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Entity Type | Individual
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Provider Name | TREY MCCOLLUM PHARMD
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Gender |
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 1272 E PENN ST
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City | MUNCY
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State | PA
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Zip | 17756-8275
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Country | US
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Telephone | 570-546-7228
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Fax |
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Provider Business Mailing Address
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Address Line | 233 W PENN ST
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City | MUNCY
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State | PA
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Zip | 17756-1208
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Country | US
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Telephone | 570-809-2982
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | PI125355
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License Number State | PA
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