Healthcare Provider Details

I. General information

NPI: 1205987203
Provider Name (Legal Business Name): LEEWARD ISLANDS APOTHECARIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 SUNNY ISLE SHOPPING CENTER SUITE #41
CHRISTIANSTED VI
00820-4493
US

IV. Provider business mailing address

PO BOX 158
CHRISTIANSTED VI
00821-0158
US

V. Phone/Fax

Practice location:
  • Phone: 340-719-6010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number210040042006
License Number StateVI

VIII. Authorized Official

Name: TROY DECHABERT SCHUSTER
Title or Position: MANAGING MEMBER
Credential:
Phone: 340-642-3141