Collier Drug Stores Inc in Fayetteville - Compounding Pharmacy

Collier Drug Stores Inc - NPI 1699774208

Collier Drug Stores Inc is a Compounding Pharmacy in Fayetteville, Arkansas. Collier Drug Stores Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Collier Drug Stores Inc is 1699774208. The last update date is 2023-05-31.

Collier Drug Stores Inc's current location address is Po Box 1085, Fayetteville, Arkansas. You can contact this provider via phone number 4794426262 and fax number 4795219111. The mailing address for Collier Drug Stores Inc is Po Box 1085, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Collier Drug Stores Inc
Address Po Box 1085, Fayetteville, Arkansas
Phone Number 4794426262
Fax Number 4795219111
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Collier Mel
Telephone Number 4794426262

NPI Number Detail

NPI Number 1699774208
Provider Enumeration Date 2005-07-15
Last Updated Date 2023-05-31

Provider Mailing Address Detail

Address Po Box 1085
City Fayetteville
State Arkansas (AR)
Post Code 727021085
Phone Number 4794426262
Fax Number 4795219111

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
Definition:
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100232407 AR --
1992736 PK

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FAQs about Collier Drug Stores Inc

What is the unique identifier code issued to Collier Drug Stores Inc by the Centers for Medicare & Medicaid Services?

The Collier Drug Stores Inc has been assigned the NPI (National Provider Identifier) 1699774208. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Collier Drug Stores Inc?

The Collier Drug Stores Inc is situated at Po Box 1085, in the city of Fayetteville, state of AR, with the zip code 727021085.

What is the Collier Drug Stores Inc's specialty and taxonomy code?

The Collier Drug Stores Inc's specialty is Compounding Pharmacy, and the corresponding taxonomy code is 3336C0004X.

On what date did the Centers for Medicare & Medicaid Services assign the 1699774208 to Collier Drug Stores Inc?

The Centers for Medicare & Medicaid Services assigned the 1699774208 to Collier Drug Stores Inc on 2005-07-15.

When was the information related to Collier Drug Stores Inc most recently updated or refreshed?

The details pertaining to the Collier Drug Stores Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-05-31.

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