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General NPI Number Information
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NPI Number | 1568537421
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Entity Type | Organization
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Legal Business Name | COLLINS PRESCRIPTION PHARMACY
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8473 S VAN NESS AVE
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City | INGLEWOOD
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State | CA
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Zip | 90305-1519
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Country | US
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Telephone | 323-778-0555
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Fax | 323-788-5657
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Provider Business Mailing Address
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Address Line | 8473 S VAN NESS AVE
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City | INGLEWOOD
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State | CA
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Zip | 90305-1519
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Country | US
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Telephone | 323-778-0555
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Fax | 323-788-5657
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Authorized Official
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Title or Position | PHARM. D
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Name | DR. WILLIAM KIRK COLLINS
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Credential |
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Telephone | 323-778-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHA412590
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License Number State | CA
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