# DELTA DRUG & GIFT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DELTA DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518075191
- **Authorized official:** JAMES PIERSON (MGR)
- **Authorized official phone:** (435) 864-5122

## Contact information

- **Practice address:** 111 E MAIN ST, DELTA, UT 84624-8497
- **Practice address phone:** (435) 864-5122
- **Practice address fax:** (435) 864-2706
- **Mailing address:** PO BOX 220, DELTA, UT 84624-0220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1319331703 | UT | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 08/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4606907 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |