Organization
DELTA DRUGS II, INC.
Active
Other names
DELTA DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
RITA AVAKIAN (PRESIDENT)
(951) 245-2325
Entity
Organization
Contact information
Practice address
2497 E LAKESHORE DR STE B, LAKE ELSINORE, CA 92530-4437
(951) 245-2325
(951) 245-4295
Mailing address
2497 E LAKESHORE DR, UNIT B, LAKE ELSINORE, CA 92530-4437
(951) 245-2325
(951) 245-4295
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5637321
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/07/2010
Last updated
04/07/2010
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