Organization
DOCTOR'S CHOICE SUB BASE
Active
Other names
Fenway Rx Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS CROWLEY (PRESIDENT)
(561) 620-8114
Entity
Organization
Contact information
Practice address
23 SUB BASE, ST THOMAS, VI 00821
(340) 774-4825
(340) 777-8233
Mailing address
PO BOX 11536, ST THOMAS, VI 00801-4536
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1007416
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5300443
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/06/2009
Last updated
04/06/2009
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