Collier Drug-Prairie Grove

LBN: Collier Drug Stores Inc
Collier Drug-Prairie Grove is an health care organization with primary practice located at 801 E Douglas St , Prairie Grove AR 72753-2737. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Collier Drug Stores Inc can be contacted via phone (479) 846-2195, or through Collier, Mel via phone (479) 442-6262.

Contact Information

Primary practice address
801 E Douglas St Prairie Grove AR 72753-2737
Phone: (479) 846-2195
Fax: (479) 846-2147
Website:
Map and Directions
Authorized official contact:
Name: Collier, Mel
Phone: (479) 442-6262

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20282 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1003816174
LBN Legal business name Collier Drug Stores Inc
DBA Doing business as Collier Drug-Prairie Grove
Authorized official Collier, Mel
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Feb 20th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003816174 NPPES
Arkansas MEDICAID 145056407
Arkansas Other 1994219

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