Organization
FAMILY DRUG INC.
Active
Organization
FAMILY DRUG INC.
Active
Other names
Family Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANN LEE GRACIA (PREDISENT BD. OF DIRECTORS)
(707) 224-7807
Entity
Organization
Contact information
Practice address
592 LINCOLN AVE, NAPA, CA 94558-3611
(707) 363-1607
(707) 230-5566
Mailing address
592 LINCOLN AVE, NAPA, CA 94558-3611
(707) 363-1607
(707) 230-5566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0538439
NCPDP (NABP) NUMBER
CA
05
—
PHA453930
—
CA
Enumeration date
10/05/2006
Last updated
01/31/2020
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