| NPI | 1619660198 |
|---|---|
| Doing Business As | COLLIER DRUG - PRAIRIE GROVE |
| Entity Type | Organization |
| Authorized Contact | CARL MELVIN COLLIER Owner 479-442-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2024-02-20 |