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Organization
DALE MEDICAL CENTER
Active
Organization
DALE MEDICAL CENTER
Active
Other names
DALE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER STEVENS RPH (PHCY DIR)
(334) 774-2601
Entity
Organization
Contact information
Practice address
126 HOSPITAL AVE, OZARK, AL 36360-2018
(334) 774-2601
(334) 774-0258
Mailing address
126 HOSPITAL AVE, OZARK, AL 36360-2018
(334) 774-2601
(334) 774-0258
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
130019
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118516
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
HOS0021H
—
AL
Enumeration date
07/31/2006
Last updated
07/02/2010
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