Organization
PACE ZONE PHARMACY
Active
Other names
Delta Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRATAP K ANNE (CEO/MANAGING MEMBER)
(209) 298-1715
Entity
Organization
Contact information
Practice address
407 N. MAIN ST., RIO VISTA, CA 94571
(707) 374-5135
(707) 374-5408
Mailing address
407 N. MAIN ST., RIO VISTA, CA 94571
(707) 374-5135
(707) 374-5408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58700
PHARMACY LICENSE
CA
Enumeration date
02/12/2007
Last updated
03/07/2023
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