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NPI Code Detail

MEDICARE: DAVID F COLLINS R.P.

MEDICARE: DAVID F COLLINS R.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI01978200NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128RI01978200OTHERNJPHARMACIST LICENSE

General Provider Information

NPI Number : 1821201906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID F COLLINS R.P.
Provider Business Mailing Address
First Line : 441 SOUTH AVE
Second Line :
City : FANWOOD
State : NJ
Zip : 07023-1333
Country : US
Telephone Number : 908-889-4586
Fax Number : 201-222-1901
Provider Business Practice Location Address
First Line : 570 NEWARK AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-2302
Country : US
Telephone Number : 201-653-4093
Fax Number : 201-222-1901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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