| NPI | 1841610995 |
|---|---|
| Doing Business As | DBA DELTA CARE RX |
| Entity Type | Organization |
| Authorized Contact | RICHARD NIELSEN Operations Manager 951-675-8672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2018-06-20 |