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General NPI Number Information
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NPI Number | 1922737964
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Entity Type | Organization
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Legal Business Name | OZARK SPECIALTY PHARMACY AND HOME INFUSION, LLC
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 2725 N WESTWOOD BLVD STE 1A
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City | POPLAR BLUFF
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State | MO
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Zip | 63901-2367
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Country | US
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Telephone | 573-772-5800
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Fax | 573-287-3535
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Provider Business Mailing Address
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Address Line | 2725 N WESTWOOD BLVD STE 1A
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City | POPLAR BLUFF
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State | MO
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Zip | 63901-2367
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Country | US
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Telephone | 573-772-5800
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Fax | 573-287-3535
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Authorized Official
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Title or Position | COO
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Name | MRS. CHERI BARTON
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Credential |
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Telephone | 738-724-2195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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