Organization · NPI-2

Daleco INC

Pharmacy, Community/Retail Pharmacy · Farmington, MO

NPI number1629076377
StatusActive
Last updated in NPPESAug 21, 2012

Details

NPI
1629076377
Entity type
Organization (NPI-2)
Legal business name
Daleco INC
Organization subpart
No
Enumeration date
Jul 7, 2005
Last updated
Aug 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy2008035866MOYes

Other names

  • USA Clinic At Mineral Area Hospital (Doing Business As)

Practice location

1101 Weber Rd
Farmington, MO 63640-3352

Phone 573-756-6117 · Fax 573-756-5541

Mailing address

1401 S Boulder Ave
Ste 300
Tulsa, OK 74119-3647

Authorized official

Galen Perkins
Pharmacy Services Coordinator
5012963311

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