Provider Demographics
NPI:1649865510
Name:DANICO PRESCRIPTIONS INC.
Entity type:Organization
Organization Name:DANICO PRESCRIPTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MASCALO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:860-589-5587
Mailing Address - Street 1:25 COLLINS RD STE 4
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-3868
Mailing Address - Country:US
Mailing Address - Phone:860-589-5587
Mailing Address - Fax:860-584-8574
Practice Address - Street 1:25 COLLINS RD STE 4
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-3868
Practice Address - Country:US
Practice Address - Phone:860-589-5587
Practice Address - Fax:860-584-8574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy