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Organization

COLLOM & CARNEY CLINIC ASSOCIATION

Active
Other names
Collom & Carney Clinic Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA CAROL KEITH PHARM.D. (PHARMACIST-IN-CHARGE)
(903) 614-3100
Entity
Organization

Contact information

Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9701
(903) 614-3100
(903) 614-3536
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9701
(903) 614-3100
(903) 614-3536

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100776407
AR
05
144477
TX
Enumeration date
12/13/2006
Last updated
03/18/2026
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