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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