# F.E. LESLIE DRUGGIST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** leslies drug, LESLIE'S PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881601706
- **Authorized official:** DAVID WARREN HOLMBERG CPHT-ADV (STORE MANAGER / CPHT-ADV)
- **Authorized official phone:** (508) 693-1010

## Contact information

- **Practice address:** 65 MAIN ST, VINEYARD HAVEN, MA 02568-5402
- **Practice address phone:** (508) 693-1010
- **Practice address fax:** (508) 693-6229
- **Mailing address:** PO BOX 417, VINEYARD HAVEN, MA 02568-0417
- **Mailing address phone:** (508) 693-1010
- **Mailing address fax:** (508) 693-6229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3302 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 3302 | MA | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 12/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0495611 | — | MA |
| 01 | — | 2216275 | NCPDP | MA |