| NPI | 1982365748 |
|---|---|
| Doing Business As | COLLINS PHARMACY AND CAFE |
| Entity Type | Organization |
| Authorized Contact | MAHATHI KANKANALA Managing Member 469-307-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-06-20 |