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NPI Code Detail

MEDICARE: DELTA DRUGS

MEDICARE: DELTA DRUGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy53285CA

General Provider Information

NPI Number : 1659737997
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELTA DRUGS
Provider Business Mailing Address
First Line : 437 FERNANDO CT
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2723
Country : US
Telephone Number : 818-309-2649
Fax Number : 818-309-2651
Provider Business Practice Location Address
First Line : 437 FERNANDO CT
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2723
Country : US
Telephone Number : 818-309-2649
Fax Number : 818-309-2651
Authorized Official
Title or Position : PRESIDENT
Name : RITA AVAKIAN
Credential :
Telephone Number : 818-309-2649
Provider Enumeration Date : 12/31/2015
Last Update Date : 12/31/2015

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Directions to “DELTA DRUGS ” Practice Location

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