Provider Type Icon

COLLIER DRUG STORES INC NPI 1801425624


NPI Information

NPI: 1801425624
Provider Name: COLLIER DRUG STORES INC

Doing Business As: COLLIER PHARMACY SERVICES

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
102 W DICKSON ST STE 5
FAYETTEVILLE, AR
ZIP 72701
Phone: (479) 935-4345
Get Directions

COLLIER DRUG STORES INC is a long term care pharmacy pharmacy in Fayetteville, AR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. COLLIER DRUG STORES INC NPI is 1801425624. The provider is registered as an organization entity type.
The provider Is Doing Business As Collier Pharmacy Services.

The provider's business location address is:

102 W DICKSON ST STE 5
FAYETTEVILLE, AR
ZIP 72701-243
Phone: (479) 935-4345

The provider's authorized official is Mel Collier .
The authorized official title is Owner and has the following contact phone number (479) 442-6262.

The enumeration date for this NPI number is 4/3/2020 and was last updated on 2/20/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11992736OTHERPK
2100232407MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.