Individual
CHRISTINE C. COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 E BROAD ST, CAMILLA, GA 31730-1832
(229) 522-3040
Mailing address
PO BOX 424, CAMILLA, GA 31730-0424
(229) 522-3040
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHRE010866
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010866
GA
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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