# COLLIER DRUG STORES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Collier Pharmacy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801425624
- **Authorized official:** MEL COLLIER (OWNER)
- **Authorized official phone:** (479) 442-6262

## Contact information

- **Practice address:** 102 W DICKSON ST STE 5, FAYETTEVILLE, AR 72701-5243
- **Practice address phone:** (479) 935-4345
- **Mailing address:** PO BOX 1085, FAYETTEVILLE, AR 72702-1085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2020
- **Last updated:** 02/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100232407 | — | AR |
| 01 | — | 1992736 | PK | — |