Organization
COLLINS RX LLC
Active
Other names
COLLINS PHARMACY AND CAFE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHATHI KANKANALA PHARM D (MANAGING MEMBER)
(469) 307-6162
Entity
Organization
Contact information
Practice address
2160 N COLLINS ST STE 120, ARLINGTON, TX 76011-2877
(469) 307-6162
Mailing address
2160 N COLLINS ST STE 120, ARLINGTON, TX 76011-2877
(469) 307-6162
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
01/04/2022
Last updated
06/20/2023
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