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Organization
COLLIER DRUG STORES INC
Active
Organization
COLLIER DRUG STORES INC
Active
Other names
Collier Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MEL COLLIER (OWNER)
(479) 442-6262
Entity
Organization
Contact information
Practice address
102 W DICKSON ST STE 5, FAYETTEVILLE, AR 72701-5243
(479) 935-4345
Mailing address
PO BOX 1085, FAYETTEVILLE, AR 72702-1085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232407
—
AR
01
—
1992736
PK
—
Enumeration date
04/03/2020
Last updated
02/20/2024
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