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Organization
OZARK PHARMACY LLC
Active
Organization
OZARK PHARMACY LLC
Active
Other names
Dalton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DALTON (OWNER)
(334) 797-7992
Entity
Organization
Contact information
Practice address
940 E BROAD ST, OZARK, AL 36360-1532
(334) 803-8240
(334) 803-8218
Mailing address
PO BOX 279, SLOCOMB, AL 36375-0279
(334) 886-2442
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114704
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168694
PK
—
Enumeration date
03/29/2017
Last updated
04/21/2017
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