Organization
COLLINS FAMILY PHARMACY LLC
Active
Organization
COLLINS FAMILY PHARMACY LLC
Active
Other names
King's Daughters Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOSEPH COLLINS PHARMD (OWNER/PIC)
(254) 778-1731
Entity
Organization
Contact information
Practice address
1905 SW H K DODGEN LOOP STE 101, TEMPLE, TX 76502-1814
(254) 778-1731
(254) 791-2266
Mailing address
1105 DRY RIDGE RD, HARKER HEIGHTS, TX 76548-7168
(254) 698-0734
(254) 791-2266
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067BQLZF1
HIN
—
05
—
150033
—
TX
01
—
32593
STATE PHARMACY LICENSE TX
TX
01
—
NP001532
NON-RESIDENT PHARMACY LICENSE
PA
Enumeration date
02/13/2019
Last updated
01/26/2023
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