Collier Drug-Dickson
LBN: Collier Drug Stores Inc
Collier Drug-Dickson is an health care organization with primary practice located at 100 W Dickson St , Fayetteville AR 72701-5219. 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 / Community/Retail Pharmacy is the primary health care specialty.
Collier Drug Stores Inc can be contacted via phone (479) 442-6262, or through Collier, Mel via phone (479) 442-6262.
Contact Information
Primary practice address
100 W Dickson St
Fayetteville AR 72701-5219
Phone: (479) 442-6262
Fax: (479) 521-9111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | AR00464 | Arkansas |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1699774208 |
|---|---|
| LBN Legal business name | Collier Drug Stores Inc |
| DBA Doing business as | Collier Drug-Dickson |
| Authorized official | Collier, Mel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699774208 | NPPES |
| Arkansas | MEDICAID | 100232407 | |
| Arkansas | Other | 1992736 |
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