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 |