NPI 1043590581

Sidney Graham Collins, RPH

Practitioner Pharmacist Deland, FL

Practice location

Address: 100 E International Speedway Blvd, Deland, FL 32724-2374
Phone: (386) 738-4371

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS29300 (FL)

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Registry record

NPI: 1043590581
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2011
Record last updated: 27 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.