Individual
DR. COREY O COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
9881 CORONADO LAKE DR, BOYNTON BEACH, FL 33437
Mailing address
PO BOX 4065, BOYNTON BEACH, FL 33424-4065
(850) 212-6739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033113
MI
183500000X
Pharmacist
5302045263
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470E01882
BCBS OF MICHIGAN
MI
05
—
874750671
—
MI
Enumeration date
05/21/2008
Last updated
06/18/2018
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