Organization
COLLIER DRUG STORES INC
Active
Other names
Collier Drug - Prairie Grove
Organization subpart
No
Provider details
NPI number
Authorized official
CARL MELVIN COLLIER JR. (OWNER)
(479) 442-6262
Entity
Organization
Contact information
Practice address
801 E DOUGLAS ST, PRAIRIE GROVE, AR 72753-2737
(479) 246-2195
(479) 846-2147
Mailing address
PO BOX 1085, FAYETTEVILLE, AR 72702-1085
(479) 442-6262
(479) 521-9111
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145056407
—
AR
Enumeration date
05/31/2023
Last updated
02/20/2024
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