Provider Demographics
NPI:1629752159
Name:OZARK CENTER
Entity Type:Organization
Organization Name:OZARK CENTER
Other - Org Name:OZARK CENTER PHARMACY II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:PARRIGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-347-7602
Mailing Address - Street 1:PO BOX 2526
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-2526
Mailing Address - Country:US
Mailing Address - Phone:417-347-7600
Mailing Address - Fax:417-347-7608
Practice Address - Street 1:3220 WISCONSIN AVE STE A
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4074
Practice Address - Country:US
Practice Address - Phone:417-347-7338
Practice Address - Fax:417-347-7339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy