Provider Demographics
NPI:1083783716
Name:HOME PHYSICIAN PHARMACY
Entity Type:Organization
Organization Name:HOME PHYSICIAN PHARMACY
Other - Org Name:EDWARD SAUNDERS,MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:340-773-3773
Mailing Address - Street 1:PO BOX 7515
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-0515
Mailing Address - Country:US
Mailing Address - Phone:340-776-3773
Mailing Address - Fax:
Practice Address - Street 1:10 SIXTH ST
Practice Address - Street 2:SUGAR ESTATE
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-776-3773
Practice Address - Fax:340-776-3773
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDWARD SAUNDERS,MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-07
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI801332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
5300392OtherOTHER ID NUMBER
5300392OtherOTHER ID NUMBER-COMMERCIAL NUMBER