Collier Pharmacy Services
LBN: Collier Drug Stores Inc
Collier Pharmacy Services is an health care organization with primary practice located at 102 W Dickson St Ste 5 , Fayetteville AR 72701-5243. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Collier Drug Stores Inc can be contacted via phone (479) 935-4345, or through Collier, Mel via phone (479) 442-6262.
Contact Information
Primary practice address
102 W Dickson St Ste 5
Fayetteville AR 72701-5243
Phone: (479) 935-4345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1801425624 |
|---|---|
| LBN Legal business name | Collier Drug Stores Inc |
| DBA Doing business as | Collier Pharmacy Services |
| Authorized official | Collier, Mel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2020 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801425624 | NPPES |
| Other | 1992736 | PK | |
| MEDICAID | 100232407 | PK |
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