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Organization

DALECO, INC

Active
Other names
USA Drug #7636
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN LAFRANCE JR. (PRESIDENT)
(870) 850-8312
Entity
Organization

Contact information

Practice address
120 E. KARSCH BLVD., FARMINGTON, MO 63640
(573) 756-6421
(573) 756-4525
Mailing address
120 E. KARSCH BLVD., FARMINGTON, MO 63640
(573) 756-6421
(573) 756-4525

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2003019222
MO
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
2003019222
MO
332BX2000X
Oxygen Equipment & Supplies (DME)
2003019233
MO
333600000X
Pharmacy
2003019222
MO
335E00000X
Prosthetic/Orthotic Supplier
2003019222
MO

Other

Enumeration date
01/18/2006
Last updated
12/04/2007
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