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
Fax: (479) 521-9111
Website:
Authorized official contact:
Name: Collier, Mel

Health care specialties

SpecialtyCodeLicense #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 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 1699774208 NPPES
Arkansas MEDICAID 100232407
Arkansas Other 1992736

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