Collins Drug
Organization Active NPI Community/Retail Pharmacy · Malvern, IA
NPI 1104989714 · NPPES record last updated Jul 19, 2007
Key facts
- NPI
- 1104989714
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 511 (IA)
- Legal business name
- COLLINS DRUG
- Practice address
- 407 Main St
Malvern, IA 51551 - Phone
- (712) 624-8160
- Fax
- (712) 624-8677
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Don Reed
- Title
- Owner
- Phone
- (712) 624-8160
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 511 | IA | Yes |
Addresses
Primary practice location
407 Main St
Malvern, IA 51551
Mailing address
PO Box 69
Malvern, IA 51551-0069
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1614420 | Other | OTHER ID NUMBER | |
| 1614420 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0076380 | Medicaid | IA |
Other providers in Malvern, IA
- Back to Life LLC
- Thomas M Baer
- Kohll'S Pharmacy & Homecare
- Kohlls Pharmacy & Homecare Inc
- Lancial Chiropractic
- Natalie Lancial
- Malvern C.S.D.
All providers in Malvern, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.