Dale Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

808 Issued in CT

Legal business name

DALE DRUG CO

Doing business as

Dale Drug Co

Practice address

2152 Poquonock Ave
Windsor, CT 06095-1238

Phone

(860) 688-6253

Fax

(860) 687-1530

NPI assigned

Dec 14, 2005

Organization subpart

No

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

Authorized official

Name

Lance Strzegowski, RPH

Title

Pharmacy Manager

Phone

(860) 688-6253

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DALE DRUG CO Doing business as

Locations

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1598740441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 POQUONOCK AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 POQUONOCK AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951238",
            "telephone_number": "860-688-6253",
            "fax_number": "860-687-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "STRZEGOWSKI",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "860-688-6253",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0701044",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004032660",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALE DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Windsor, CT
• Providers in Windsor, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.