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NPI Code Detail

MEDICARE: PEYTON MCCLELLAN

MEDICARE:   PEYTON  MCCLELLAN
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
1183500000XPharmacist77200TX

General Provider Information

NPI Number : 1679407712
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEYTON MCCLELLAN
Provider Business Mailing Address
First Line : 3131 MAIN ST APT 515
Second Line :
City : DALLAS
State : TX
Zip : 75226-1582
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1507 W PLEASANT RUN RD
Second Line :
City : LANCASTER
State : TX
Zip : 75146-1213
Country : US
Telephone Number : 972-218-6446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ PEYTON MCCLELLAN ” Practice Location

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