Daleco Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2008035866 Issued in MO

Legal business name

DALECO INC

Doing business as

USA Clinic at Mineral Area Hospital

Practice address

1101 Weber Rd
Farmington, MO 63640-3352

Phone

(573) 756-6117

Fax

(573) 756-5541

NPI assigned

Jul 7, 2005

Last updated

Aug 21, 2012By the provider in NPPES

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

Pharmacy Services Coordinator

Phone

(501) 296-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• USA CLINIC AT MINERAL AREA HOSPITAL Doing business as

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1629076377",
    "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": "1101 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403352",
            "telephone_number": "573-756-6117",
            "fax_number": "573-756-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALECO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "GALEN",
        "authorized_official_title_or_position": "PHARMACY SERVICES COORDINATOR",
        "authorized_official_telephone_number": "501-296-3311"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2008035866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2624941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA CLINIC AT MINERAL AREA HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CW Care LLC Dba Nala Care
• Miranda D'Angelo
• Robin Daher, MA, LPC
• Mary Frances Dahmm, NP
• Dalco, Inc.
• Daleco, Inc (USA Drug #7636)
• Daleco, Inc. (USA Drug #7637)
• Daleco, Inc. (USA Drug #7636 Rehab)
• Dwayne Nathan Damba, DO
• Natalie Ann Dameron, MMS, PA-C

• Community/Retail Pharmacy in Farmington, MO
• Providers in Farmington, 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.