Dana Cover, RPH
Individual provider Active NPI Pharmacist · Perryville, MO
NPI 1376246397 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1376246397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2001028207 (MO)
- Practice address
- 212 Hospital LN Ste 102
Perryville, MO 63775-4204 - Phone
- (573) 547-4960
- Fax
- (573) 547-6540
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051287027 | IL | MD | Pharmacist |
| 2001028207 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051287027 | IL | |
| Pharmacist | 183500000X | 2001028207 | MO | Yes |
Addresses
Primary practice location
212 Hospital LN Ste 102
Perryville, MO 63775-4204
Mailing address
925 Lindmark Dr
Wentzville, MO 63385-6878
Phone (573) 330-4369
Other practice location 1
212 Hospital Ln Ste 103
Perryville, MO 63775-4204
Phone (573) 768-3395
Other providers in Perryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.