Organization
COLLIER DRUG STORES INC
Active
Other names
Collier Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MEL COLLIER (OWNER)
(479) 442-6262
Entity
Organization
Contact information
Practice address
102 W DICKSON ST STE 5, FAYETTEVILLE, AR 72701-5243
(479) 935-4345
Mailing address
PO BOX 1085, FAYETTEVILLE, AR 72702-1085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232407
—
AR
01
—
1992736
PK
—
Enumeration date
04/03/2020
Last updated
02/20/2024
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