Dales Pharmacy

LBN: Clontz Enterprises Inc
Dales Pharmacy is an health care organization with primary practice located at 5411 Dollarway Rd , Pine Bluff AR 71602-3907. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Clontz Enterprises Inc can be contacted via phone (870) 247-4411, or through Clontz, Dawn via phone (870) 247-4411.

Contact Information

Primary practice address
5411 Dollarway Rd Pine Bluff AR 71602-3907
Fax: (870) 247-3207
Website:
Authorized official contact:
Name: Clontz, Dawn PHARM D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 007674 Arkansas

Profile Details

NPI number 1689781213
LBN Legal business name Clontz Enterprises Inc
DBA Doing business as Dales Pharmacy
Authorized official Clontz, Dawn PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689781213 NPPES
Arkansas Other 0417611 NABP

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