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Organization
DELTA DRUG & GIFT LLC
Active
Organization
DELTA DRUG & GIFT LLC
Active
Other names
DELTA DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PIERSON (MGR)
(435) 864-5122
Entity
Organization
Contact information
Practice address
111 E MAIN ST, DELTA, UT 84624-8497
(435) 864-5122
(435) 864-2706
Mailing address
PO BOX 220, DELTA, UT 84624-0220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
1319331703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4606907
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/25/2006
Last updated
08/30/2011
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