Organization
COLLIER DRUG STORES INC
Active
Other names
Collier Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MEL COLLIER (OWNER)
(479) 442-6262
Entity
Organization
Contact information
Practice address
5203 WILLOW CREEK DR STE 1, SPRINGDALE, AR 72762-0876
(479) 935-4336
Mailing address
PO BOX 1085, FAYETTEVILLE, AR 72702-1085
(479) 442-6262
(479) 521-9111
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
AR20673
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135550
PK
—
Enumeration date
06/19/2012
Last updated
02/20/2024
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