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General NPI Number Information
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NPI Number | 1205987203
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Entity Type | Organization
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Legal Business Name | LEEWARD ISLANDS APOTHECARIES LLC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4500 SUNNY ISLE SHOPPING CENTER SUITE #41
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City | CHRISTIANSTED
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State | VI
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Zip | 00820-4493
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Country | US
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Telephone | 340-719-6010
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 158
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City | CHRISTIANSTED
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State | VI
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Zip | 00821-0158
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TROY DECHABERT SCHUSTER
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Credential |
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Telephone | 340-642-3141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 210040042006
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License Number State | VI
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