Dale Drug Co

LBN: Dale Drug Co
Dale Drug Co is an health care organization with primary practice located at 2152 Poquonock Ave , Windsor CT 06095-1238. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Dale Drug Co can be contacted via phone (860) 688-6253, or through Strzegowski, Lance via phone (860) 688-6253.

Contact Information

Primary practice address
2152 Poquonock Ave Windsor CT 06095-1238
Fax: (860) 687-1530
Website:
Authorized official contact:
Name: Strzegowski, Lance RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 808 Connecticut

Profile Details

NPI number 1598740441
LBN Legal business name Dale Drug Co
DBA Doing business as Dale Drug Co
Authorized official Strzegowski, Lance RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2005
Last updated Dec 22nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598740441 NPPES
Other 0701044 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 004032660 NCPDP PROVIDER IDENTIFICATION NUMBER

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