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Choice Source Therapeutic South Llc
Specialty Pharmacy in Daphne, Alabama
NPI 1720069628

Choice Source Therapeutic South Llc is a Specialty Pharmacy based in Los Angeles, AL and is specialized in Specialty Pharmacy. Choice Source Therapeutic South Llc practices in Daphne, AL. The NPI Number for Choice Source Therapeutic South Llc is 1720069628 and holds a License No. 112079 (Alabama).

The current practice location address for Choice Source Therapeutic South Llc is 1048 Stanton Rd, Daphne, AL and can be reached out via phone at 251-621-5300 and via fax at 251-621-5318. You can also correspond with Choice Source Therapeutic South Llc through the mailing address at DEPARTMENT 6175, LOS ANGELES, CA - 90088-6175 (mailing address contact number: 800-225-5967).

Location: 1048 Stanton Rd, Daphne, AL, 90088-6175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720069628
Provider Name
Choice Source Therapeutic South Llc
Credential
Provider Entity Type
Organization
Address
1048 Stanton Rd, Daphne, AL, 90088-6175
Phone Number
251-621-5300
Fax Number
251-621-5318
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0330543 05 MS
institution
Provider Business Practice Location Address Details
Address
1048 Stanton Rd
City
Daphne
State
Alabama
Zip
36526-4294
Phone Number
251-621-5300
Fax Number
251-621-5318
person
Provider Business Mailing Address Details
Address
Department 6175
City
Los Angeles
State
California
Zip
90088-6175
Phone Number
800-225-5967
Fax Number
909-799-4364
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
112079 (Alabama)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
112079 (Alabama)
Definition
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.
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