Delta Drugs

LBN: Delta Drugs
Delta Drugs is an health care organization with primary practice located at 1666 Medical Center Dr , San Bernardino CA 92411-1257. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Delta Drugs can be contacted via phone (909) 887-2596, or through Tenette, Paul Anthony via phone (909) 887-2596.

Contact Information

Primary practice address
1666 Medical Center Dr San Bernardino CA 92411-1257
Fax: (909) 887-8496
Website:
Authorized official contact:
Name: Tenette, Paul Anthony RPN

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY37450 California

Profile Details

NPI number 1154445179
LBN Legal business name Delta Drugs
DBA Doing business as
Authorized official Tenette, Paul Anthony RPN
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Jun 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154445179 NPPES
California MEDICAID PHA374500

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