| Organization Name: | DAILEYS CLINIC PHARMACY INC |
| NPI Number: | 1164576518 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL DAILEY (PRESIDENT) |
| Mailing Address: | 964 N Laurel St Wahoo |
| State: | NE US |
| Postal Code: | 680661527 |
| Phone Number: | 4024433791 |
| Fax Number: | 4024433725 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | 1518 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NE |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |