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Organization
COLLINGSWORTH PHARMACY, LLC
Active
Organization
COLLINGSWORTH PHARMACY, LLC
Active
Other names
COLLINGSWORTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG WILLIAM OUELLETTE (OWNER)
(806) 447-1184
Entity
Organization
Contact information
Practice address
1016 16TH ST, WELLINGTON, TX 79095-3738
(806) 447-1184
(806) 447-1182
Mailing address
1016 16TH ST, WELLINGTON, TX 79095-3738
(806) 447-1184
(806) 447-1182
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126840107
—
TX
05
—
148102
—
TX
01
—
2098355
PK
—
Enumeration date
07/22/2006
Last updated
05/27/2020
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