Provider Demographics
NPI:1821578063
Name:THE COLONY PHARMACY LLC
Entity Type:Organization
Organization Name:THE COLONY PHARMACY LLC
Other - Org Name:THECOLONYRX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AKINDELE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINSEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-680-0830
Mailing Address - Street 1:1995 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4690
Mailing Address - Country:US
Mailing Address - Phone:214-680-0830
Mailing Address - Fax:
Practice Address - Street 1:6053 MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-4706
Practice Address - Country:US
Practice Address - Phone:214-680-0830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy