Provider Demographics
NPI:1902791049
Name:DEL NORTE LLC
Entity type:Organization
Organization Name:DEL NORTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OBINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-457-5340
Mailing Address - Street 1:835 NORTHCREST DR
Mailing Address - Street 2:
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531-2312
Mailing Address - Country:US
Mailing Address - Phone:707-457-5340
Mailing Address - Fax:
Practice Address - Street 1:835 NORTHCREST DR
Practice Address - Street 2:
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95531-2312
Practice Address - Country:US
Practice Address - Phone:707-457-5340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy