MEDICARE: WILLIAM TORREY COLLINSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PR46123	ME

General Provider Information

NPI Number	:	1245784891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM TORREY COLLINSON

Provider Business Mailing Address
First Line	:	575 LISBON ST
Second Line	:
City	:	LISBON FALLS
State	:	ME
Zip	:	04252-1114
Country	:	US
Telephone Number	:	207-353-4843
Fax Number	:

Provider Business Practice Location Address
First Line	:	575 LISBON ST
Second Line	:
City	:	LISBON FALLS
State	:	ME
Zip	:	04252-1114
Country	:	US
Telephone Number	:	207-353-4843
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2016
Last Update Date	:	08/12/2016

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Directions to “ WILLIAM TORREY COLLINSON ” Practice Location

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