MEDICARE: FIRST CHOICE PHARMACY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	26947	TX

General Provider Information

NPI Number	:	1669793436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE PHARMACY, INC

Provider Business Mailing Address
First Line	:	7909 HILLCROFT ST
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77081-7202
Country	:	US
Telephone Number	:	713-779-7603
Fax Number	:	713-779-7601

Provider Business Practice Location Address
First Line	:	7909 HILLCROFT ST
Second Line	:	SUITE B
City	:	HOUSTON
State	:	TX
Zip	:	77081-7202
Country	:	US
Telephone Number	:	713-779-7603
Fax Number	:	713-779-7601

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	TRI LE
Credential	:
Telephone Number	:	832-517-0306

Provider Enumeration Date	:	06/16/2010
Last Update Date	:	06/27/2022

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