Organization
COLLECTIVE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AYESHA SIDDIQI (ACCOUNTS COORDINATOR)
(817) 784-2400
Entity
Organization
Contact information
Practice address
2435 GRAVEL DR, FORT WORTH, TX 76118-6937
(817) 595-1556
(817) 595-1536
Mailing address
1700 TECH CENTRE PKWY, SUITE # 110, ARLINGTON, TX 76014-4405
(817) 784-2400
(817) 676-9148
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
22616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4537962
NCPDP #
TX
Enumeration date
08/09/2005
Last updated
08/22/2020
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