Organization · Type 2 NPI

Collier Drug Stores Inc

Long Term Care Pharmacy · Prairie Grove, AR

NPI number 1619660198 Active

Practice location

801 E Douglas St
Prairie Grove, AR 72753-2737

Call (479) 246-2195 Map

Fax (479) 846-2147

Mailing address

PO Box 1085
Fayetteville, AR 72702-1085

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

2 other providers at this address

NPI record

NPI: 1619660198
Entity type: Organization (Type 2)
Issued: May 31, 2023
Last updated: Feb 20, 2024
Status: Active

Other names

<unavail>
Collier Drug - Prairie Grove · doing business as
Collier Drug - Prairie Grove · doing business as

Authorized official

Carl Melvin Collier
Owner
(479) 442-6262

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619660198

Collier Drug Stores Inc's National Provider Identifier is 1619660198, issued on May 31, 2023. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Prairie Grove, AR. The record was last updated on Feb 20, 2024.