# DALE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DALE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114096062
- **Authorized official:** CYNTHIA CANNON RPH (OWNER PHARMACIST)
- **Authorized official phone:** (334) 774-2808

## Contact information

- **Practice address:** 1548 S US HIGHWAY 231, SUITE A 6, OZARK, AL 36360-4515
- **Practice address phone:** (334) 774-7979
- **Practice address fax:** (334) 445-0100
- **Mailing address:** PO BOX 1185, OZARK, AL 36361-1185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 112875 | AL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0134178 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |