Organization
COLLINS DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON REED (OWNER)
(712) 624-8160
Entity
Organization
Contact information
Practice address
407 MAIN ST, MALVERN, IA 51551
(712) 624-8160
(712) 624-8677
Mailing address
PO BOX 69, MALVERN, IA 51551-0069
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
511
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076380
—
IA
01
—
1614420
OTHER ID NUMBER
—
Enumeration date
12/18/2006
Last updated
07/19/2007
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