Healthcare Provider Details

I. General information

NPI: 1073424941
Provider Name (Legal Business Name): OZARK SPECIALTY PHARMACY AND HOME INFUSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 N WESTWOOD BLVD
POPLAR BLUFF MO
63901-2388
US

IV. Provider business mailing address

2725 N WESTWOOD BLVD
POPLAR BLUFF MO
63901-2388
US

V. Phone/Fax

Practice location:
  • Phone: 573-686-5510
  • Fax: 573-287-3535
Mailing address:
  • Phone: 573-686-5510
  • Fax: 573-287-3535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHERYL LYNNE BARTON
Title or Position: COO
Credential:
Phone: 573-686-5510