CHOICE SOURCE THERAPEUTIC SOUTH LLC NPI 1720069628

NPI Information

  • NPI: 1720069628
  • Provider Name: CHOICE SOURCE THERAPEUTIC SOUTH LLC
  • Classification: Pharmacy - 3336S0011X
  • Specialization: Specialty Pharmacy
  • Entity Type: Organization
  • Address: 1048 STANTON RD
    SUITE A
    DAPHNE, AL
    ZIP 36526
  • Phone: (251) 621-5300

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NPI Details

CHOICE SOURCE THERAPEUTIC SOUTH LLC is a specialty pharmacy pharmacy in Daphne, AL. The provider is 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. CHOICE SOURCE THERAPEUTIC SOUTH LLC NPI is 1720069628. The provider is registered as an organization entity type.

The provider's business location address is:

1048 STANTON RD
SUITE A
DAPHNE, AL
ZIP 36526-294
Phone: (251) 621-5300
Fax: (251) 621-5318

The provider's authorized official is David William Border .
The authorized official title is Authorized Signer and has the following contact phone number (800) 225-5967.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 8/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies112079ALABAMANo
2333600000XPharmacy112079ALABAMANo
33336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10330543MEDICAIDMISSISSIPPI
25535140001MEDICARE NSCALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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