Organization · Type 2 NPI

Choice Source Therapeutic South LLC

Specialty Pharmacy · Daphne, AL

NPI number 1720069628 Active

Practice location

1048 Stanton Rd, Suite A
Daphne, AL 36526-4294

Fax (251) 621-5318

Mailing address

Department 6175
Los Angeles, CA 90088-6175

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000X112079 (AL)
Pharmacy 333600000X112079 (AL)
Specialty Pharmacy Primary 3336S0011XNone listed

Specialty Pharmacy: A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

4 other providers at this address

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About NPI 1720069628

Choice Source Therapeutic South LLC's National Provider Identifier is 1720069628, issued on Nov 8, 2005. The primary taxonomy on file is Specialty Pharmacy (3336S0011X), and the practice location is in Daphne, AL. The record was last updated on Aug 20, 2007.