Organization
DALE DRUG CO
Active
Other names
DALE DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE STRZEGOWSKI RPH (PHARMACY MANAGER)
(860) 688-6253
Entity
Organization
Contact information
Practice address
2152 POQUONOCK AVE, WINDSOR, CT 06095-1238
(860) 688-6253
(860) 687-1530
Mailing address
2152 POQUONOCK AVE, WINDSOR, CT 06095-1238
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
808
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004032660
—
CT
01
—
0701044
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/14/2005
Last updated
12/22/2008
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