Provider Demographics
NPI:1487688669
Name:FEDERAL DRUG COMPANY
Entity Type:Organization
Organization Name:FEDERAL DRUG COMPANY
Other - Org Name:WILLIAM R MACDONALD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-687-7551
Mailing Address - Street 1:3327 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2623
Mailing Address - Country:US
Mailing Address - Phone:805-687-7551
Mailing Address - Fax:805-687-9870
Practice Address - Street 1:3327 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2623
Practice Address - Country:US
Practice Address - Phone:805-687-7551
Practice Address - Fax:805-687-9870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY370783336C0003X
CAPHY559183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0547135OtherNABP
CAPHA328190Medicaid
CAPHA328190Medicaid