Provider Demographics
NPI:1013517499
Name:MCGUIRE, TRISHA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:ELIZABETH
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 AJK BLVD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9335
Mailing Address - Country:US
Mailing Address - Phone:570-522-8234
Mailing Address - Fax:570-522-8204
Practice Address - Street 1:120 AJK BLVD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9335
Practice Address - Country:US
Practice Address - Phone:570-522-8234
Practice Address - Fax:570-522-8204
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03338126183500000X
PARP454013183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist