Healthcare Provider Details

I. General information

NPI: 1124323613
Provider Name (Legal Business Name): PHARMACY CHOICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2011
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 S CONGRESS AVE STE 1E
PALM SPRINGS FL
33406-7667
US

IV. Provider business mailing address

2324 S CONGRESS AVE STE 1E
PALM SPRINGS FL
33406-7667
US

V. Phone/Fax

Practice location:
  • Phone: 561-793-3300
  • Fax: 561-793-3390
Mailing address:
  • Phone: 561-793-3300
  • Fax: 561-793-3390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH25217
License Number StateFL

VIII. Authorized Official

Name: ILIANA R PERNAS
Title or Position: PHARM.D.
Credential:
Phone: 561-793-3300