Provider Demographics
NPI:1881360444
Name:COLLINS, CASEY L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:L
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:L
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5000 WEGMANS DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9409
Mailing Address - Country:US
Mailing Address - Phone:610-317-1345
Mailing Address - Fax:610-317-1398
Practice Address - Street 1:5000 WEGMANS DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9409
Practice Address - Country:US
Practice Address - Phone:610-317-1345
Practice Address - Fax:610-317-1398
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439435183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP439435OtherSTATE LICENSE