Organization
CLONTZ ENTERPRISES INC
Active
Other names
DALES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN CLONTZ PHARM D (PRESIDENT)
(870) 247-4411
Entity
Organization
Contact information
Practice address
5411 DOLLARWAY RD, PINE BLUFF, AR 71602-3907
(870) 247-4411
(870) 247-3207
Mailing address
5411 DOLLARWAY RD, PINE BLUFF, AR 71602-3907
(870) 247-4411
(870) 247-3207
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
007674
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0417611
NABP
AR
Enumeration date
08/23/2006
Last updated
09/11/2025
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