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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