Organization
COLLIER DRUG STORES INC
Active
Other names
COLLIER DRUG-WILLOW CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
MEL COLLIER (OWNER)
(479) 442-6262
Entity
Organization
Contact information
Practice address
5201 WILLOW CREEK DR, SPRINGDALE, AR 72762-0876
(479) 521-7876
(479) 521-7889
Mailing address
PO BOX 1085, FAYETTEVILLE, AR 72702-1085
(479) 442-6262
(479) 521-9111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR18978
AR
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127467407
—
AR
01
—
1988035
PK
—
Enumeration date
08/02/2005
Last updated
02/20/2024
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