Organization
DALECO INC
Active
Other names
USA Drug
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN PERKINS (VP PHARMACY SERVICES)
(501) 296-3311
Entity
Organization
Contact information
Practice address
903 BENHAM ST, BONNE TERRE, MO 63628-1305
(573) 358-3311
(573) 358-7971
Mailing address
1401 S BOULDER AVE, STE 300, TULSA, OK 74119-3647
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2009001939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2615447
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
600118905
—
MO
Enumeration date
09/21/2006
Last updated
08/21/2012
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