Organization
WELLNESS PHARMACY
Active
Other names
OCEANSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA BENJAMIN (OFFICE MGR)
(340) 775-0484
Entity
Organization
Contact information
Practice address
14 ESTATE PLESSEN, FREDERIKSTED, VI 00841
(340) 719-1922
(340) 719-1940
Mailing address
PO BOX 8831, ST THOMAS, VI 00801-1831
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
220238432006
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5300265
OTHER ID NUMBER
—
Enumeration date
04/03/2007
Last updated
09/12/2007
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