Organization
CA COLLINS ENTERPRISES INC
Active
Other names
Healthway Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STACY HAMAN CPHT (OFC MNGR)
(989) 791-1691
Entity
Organization
Contact information
Practice address
2544 MCLEOD DR N STE 2, SAGINAW, MI 48604-2854
(989) 791-1691
(989) 791-4603
Mailing address
2544 MCLEOD DR N STE 2, SAGINAW, MI 48604-2854
(989) 791-1691
(989) 791-4603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007805
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044855
PK
—
Enumeration date
04/03/2007
Last updated
01/27/2017
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