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Organization
F.E. LESLIE DRUGGIST, INC.
Active
Organization
F.E. LESLIE DRUGGIST, INC.
Active
Other names
leslies drug, LESLIE'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WARREN HOLMBERG CPHT-ADV (STORE MANAGER / CPHT-ADV)
(508) 693-1010
Entity
Organization
Contact information
Practice address
65 MAIN ST, VINEYARD HAVEN, MA 02568-5402
(508) 693-1010
(508) 693-6229
Mailing address
PO BOX 417, VINEYARD HAVEN, MA 02568-0417
(508) 693-1010
(508) 693-6229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3302
MA
3336C0003X
Community/Retail Pharmacy
Primary
3302
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495611
—
MA
01
—
2216275
NCPDP
MA
Enumeration date
08/02/2006
Last updated
12/15/2021
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