Provider Demographics
NPI:1831314392
Name:INTER ISLAND PHARMACIES
Entity Type:Organization
Organization Name:INTER ISLAND PHARMACIES
Other - Org Name:DOCTOR'S CHOICE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-775-0484
Mailing Address - Street 1:WHEATLEY SHOPPING CENTER
Mailing Address - Street 2:P.O. BOX 11536
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801
Mailing Address - Country:US
Mailing Address - Phone:340-777-1400
Mailing Address - Fax:340-777-8233
Practice Address - Street 1:6L-1
Practice Address - Street 2:WHEATLEY SHOPPING CENTER
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00801
Practice Address - Country:US
Practice Address - Phone:340-777-1400
Practice Address - Fax:340-777-8233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI120284142007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty