Organization
AMDAN INCORPORATED
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DURAND (OWNER)
(340) 776-1235
Entity
Organization
Contact information
Practice address
9004 HAVENSIGHT SHOPP CTR, SUITE D THROUGH F, ST THOMAS, VI 00802-2657
(340) 776-1235
(340) 776-1776
Mailing address
PO BOX 600180, ST THOMAS, VI 00801-6180
(340) 776-1235
(340) 776-1776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
1-30441-1L
VI
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150784
PK
—
01
—
8364790001
MEDICARE DME PTAN
VI
01
—
NG124
MEDICARE MASS PTAN
VI
Enumeration date
01/22/2015
Last updated
07/01/2025
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