Collier Drug-Willow Creek

LBN: Collier Drug Stores Inc
Collier Drug-Willow Creek is an health care organization with primary practice located at 5201 Willow Creek Dr , Springdale AR 72762-0876. The organization recently has 2 registered licenses in different health care specialties including 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) 521-7876, or through Collier, Mel via phone (479) 442-6262.

Contact Information

Primary practice address
5201 Willow Creek Dr Springdale AR 72762-0876
Phone: (479) 521-7876
Fax: (479) 521-7889
Website:
Map and Directions
Authorized official contact:
Name: Collier, Mel
Phone: (479) 442-6262

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR18978 Arkansas
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1609877414
LBN Legal business name Collier Drug Stores Inc
DBA Doing business as Collier Drug-Willow Creek
Authorized official Collier, Mel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2005
Last updated Feb 20th, 2024 - about 7 months 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 1609877414 NPPES
Other 1988035 PK
MEDICAID 127467407 PK

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