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General NPI Number Information
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NPI Number | 1487688669
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Entity Type | Organization
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Legal Business Name | FEDERAL DRUG EMPLOYEES CORPORATION
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | FEDERAL DRUG EMPLOYEES CORPORATION 3327 STATE STREET
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City | SANTA BARBARA
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State | CA
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Zip | 93105
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Country | US
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Telephone | 805-687-7551
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Fax | 805-687-9870
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Provider Business Mailing Address
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Address Line | FEDERAL DRUG EMPLOYEES CORPORATION 3327 STATE STREET
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City | SANTA BARBARA
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State | CA
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Zip | 93105
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Country | US
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Telephone | 805-687-7551
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Fax | 805-687-9870
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Authorized Official
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Title or Position | CEO/GM
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Name | MR. ROBERT CROCKER
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Credential |
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Telephone | 805-687-7551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY37078
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY55918
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License Number State | CA
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