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NPI Code Detail

MEDICARE: DELTA DRUGS II INC

MEDICARE: DELTA DRUGS II INC
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
13336M0003XManaged Care Organization Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy
43336C0003XCommunity/Retail Pharmacy53285CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12137165OTHERPK

General Provider Information

NPI Number : 1790036671
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELTA DRUGS II INC
Provider Business Mailing Address
First Line : 437 FERNANDO CT
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2723
Country : US
Telephone Number : 818-309-2884
Fax Number : 818-309-2886
Provider Business Practice Location Address
First Line : 437 FERNANDO CT
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2723
Country : US
Telephone Number : 818-309-2884
Fax Number : 818-309-2886
Authorized Official
Title or Position : PRESIDENT
Name : RITA AVAKIAN
Credential :
Telephone Number : 818-309-2649
Provider Enumeration Date : 10/02/2012
Last Update Date : 06/07/2025

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