Daleco Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2009001939 Issued in MO

Legal business name

DALECO INC

Practice address

903 Benham St
Bonne Terre, MO 63628-1305

Phone

(573) 358-3311

Fax

(573) 358-7971

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Galen Perkins

Title

VP Pharmacy Services

Phone

(501) 296-3311

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• USA Drug Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Daleco, Inc.

  • Pharmacy
  • Desloge, MO
  • NPI 1124008081

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1124126156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BOULDER AVE",
            "address_2": "STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741193647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BENHAM ST",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281305",
            "telephone_number": "573-358-3311",
            "fax_number": "573-358-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALECO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "GALEN",
        "authorized_official_title_or_position": "VP PHARMACY SERVICES",
        "authorized_official_telephone_number": "501-296-3311"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2009001939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2615447",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600118905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Chandler, AANP
• Michael Clippard, M.D., FAAP
• Glenda Charlene Counts, FNP
• Jessica L Cox, FNP-BC
• Ctr Transportation LLC
• Daniel Oliver Reiter
• Joseph Richard Engel, DDS
• Melia Fall, M.S. CFY/SLP
• Farmington Clinic Company LLC
• James Fields, NRP

• Community/Retail Pharmacy in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.