Healthcare Provider Details

I. General information

NPI: 1255245072
Provider Name (Legal Business Name): OZARK SPECIALTY PHARMACY AND HOME INFUSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
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: 573-772-5800
  • Fax: 573-287-3535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHERYL LYNNE BARTON
Title or Position: CHIEF OPERATING OFFICER
Credential: RN
Phone: 573-686-5510