Provider Demographics
NPI:1033758362
Name:DELMA INC
Entity Type:Organization
Organization Name:DELMA INC
Other - Org Name:DELMA RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAYGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-687-3999
Mailing Address - Street 1:6850 VAN NUYS BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4629
Mailing Address - Country:US
Mailing Address - Phone:818-687-3999
Mailing Address - Fax:888-421-5959
Practice Address - Street 1:6850 VAN NUYS BLVD STE 115
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4629
Practice Address - Country:US
Practice Address - Phone:818-687-3999
Practice Address - Fax:888-421-5959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA57101OtherBOARD OF PHARMACY PERMIT