Organization
MTWELCOME PHARMACY PRINCESSE
Active
Other names
MT Welcome Pharmacy Princesse
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE HARVEY (PHARMACIST)
(540) 890-3409
Entity
Organization
Contact information
Practice address
4040 LA GRANDE PRINCESS, CHRISTIANSTED, VI 00820
(340) 719-7979
(340) 713-3118
Mailing address
4040 ESTATE LA GRANDE PRINCESS, CHRISTIANSTED, VI 00820-5165
(340) 719-7979
(340) 713-3118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-13924-3L
VI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1262
—
VI
01
—
2157468
PK
—
Enumeration date
01/13/2016
Last updated
01/13/2016
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