Organization
COLLIER PHARMACEUTICAL SERVICES INC
Active
Other names
LAKEVIEW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MISIR (OWNER)
(239) 263-4490
Entity
Organization
Contact information
Practice address
700 2ND AVE N, SUITE 101, NAPLES, FL 34102-5756
(239) 263-4490
(239) 263-4590
Mailing address
700 2ND AVE N, SUITE 101, NAPLES, FL 34102-5756
(239) 263-4490
(239) 263-4590
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065401
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
08/29/2012
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