Individual
DR. BRIAN JAMES COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 LOUISIANA AVE, PERRYSBURG, OH 43551-2537
(419) 874-3587
Mailing address
1131 CEDAR CREEK DR, NORTHWOOD, OH 43619-2656
(419) 349-8165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03439117
RPH LICENSE
OH
Enumeration date
03/19/2020
Last updated
03/19/2020
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