Clontz Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

007674 Issued in AR

Legal business name

CLONTZ ENTERPRISES INC

Doing business as

DALES PHARMACY

Practice address

5411 Dollarway Rd
Pine Bluff, AR 71602-3907

Phone

(870) 247-4411

Fax

(870) 247-3207

NPI assigned

Aug 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dawn Clontz, PHARM D

Title

President

Phone

(870) 247-4411

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DALES PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689781213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 DOLLARWAY RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716023907",
            "telephone_number": "870-247-4411",
            "fax_number": "870-247-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 DOLLARWAY RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716023907",
            "telephone_number": "870-247-4411",
            "fax_number": "870-247-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLONTZ ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLONTZ",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-247-4411",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "007674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0417611",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derwin Clark
• Michael D Clark, DDS
• Shelby Danyelle Clements, B.A
• Johnny F Clendenin Jr., CRNA
• Clifton G Roaf & Marvin Q Caudle
• Jason B Cobb, MD
• Kay K Cogbill, MD
• Ray E Colclasure, D.D.S.
• Lori E Cole, CRNA
• Kyle Coleman

• Community/Retail Pharmacy in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.