Organization
OZONA PHARMACY, LLC
Active
Other names
Village Drug
Organization subpart
No
Provider details
NPI number
Authorized official
YANKTON SY WYATT PHARM.D. (MANAGER)
(210) 383-5890
Entity
Organization
Contact information
Practice address
804 11TH ST, OZONA, TX 76943
(325) 392-2666
(325) 392-2864
Mailing address
813 HOSPITAL DR, ANDREWS, TX 79714-3618
(432) 523-4861
(432) 524-4418
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150297
—
TX
01
—
33280
STATE LICENSE NUMBER
TX
Enumeration date
12/14/2006
Last updated
07/13/2023
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