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 only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Collier Drug Stores Inc can be contacted via phone (479) 246-2195, or through Collier, Carl Melvin via phone (479) 442-6262.

Contact Information

Primary practice address
801 E Douglas St Prairie Grove AR 72753-2737
Phone: (479) 246-2195
Fax: (479) 846-2147
Website:
Map and Directions
Authorized official contact:
Name: Collier, Carl Melvin
Phone: (479) 442-6262

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1619660198
LBN Legal business name Collier Drug Stores Inc
DBA Doing business as Collier Drug - Prairie Grove
Authorized official Collier, Carl Melvin
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2023
Last updated Feb 20th, 2024 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619660198 NPPES
Arkansas MEDICAID 145056407

Popular Providers