Provider Demographics
NPI:1386041002
Name:D & B RX INC DBA DELTA DRUGS
Entity type:Organization
Organization Name:D & B RX INC DBA DELTA DRUGS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PIC
Authorized Official - Prefix:
Authorized Official - First Name:NANDALAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOJITRA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:646-637-3339
Mailing Address - Street 1:1666 MEDICAL CENTER DR
Mailing Address - Street 2:STE 1
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92411-1257
Mailing Address - Country:US
Mailing Address - Phone:909-887-7989
Mailing Address - Fax:909-887-7839
Practice Address - Street 1:1666 MEDICAL CENTER DR STE 1
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92411-1257
Practice Address - Country:US
Practice Address - Phone:909-887-7989
Practice Address - Fax:909-887-7839
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D & B RX INC DBA DELTA DRUGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-24
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2170508OtherPK
CA1386041002Medicaid