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Rebecca McCollum

Pharmacist in Herrin, IL. Individual provider (NPI-1).

NPI number1497166185
StatusActive
Last updated in NPPESMay 15, 2014

Details

NPI
1497166185
Entity type
Individual (NPI-1)
Name
Rebecca McCollum
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2014
Last updated
May 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051.030818ILYes

Practice location

201 S 14th St
Herrin, IL 62948-3631

Phone 618-942-2171 · Fax 618-351-4904

Mailing address

201 S 14th St
Herrin, IL 62948-3631

Phone 618-942-2171 · Fax 618-351-4904

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