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 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) 442-6262, or through Collier, Carl Melvin 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:
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 1730873035
LBN Legal business name Collier Drug Stores Inc
DBA Doing business as Collier Drug - Dickson
Authorized official Collier, Carl Melvin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730873035 NPPES
Arkansas MEDICAID 100232407

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