Collins, Michael Edward

Collins, Michael Edward is an individual health care provider with primary practice located at 341 State Route 104 Walmart Pharmacy, Oswego NY 13126-2911. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Collins, Michael Edward can be contacted via phone (315) 342-2212.

Contact Information

Primary practice address
341 State Route 104 Walmart Pharmacy Oswego NY 13126-2911
Phone: (315) 342-2212
Fax: (315) 342-2225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 31563 New York

Profile Details

NPI number 1285819953
LBN Legal business name Collins, Michael Edward
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Feb 22nd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285819953 NPPES
New York MEDICAID 00484368

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