Healthcare Provider Details

I. General information

NPI: 1912819012
Provider Name (Legal Business Name): FIRST CHOICE PHARMACY-LTC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 MS HIGHWAY 388
BROOKSVILLE MS
39739-9071
US

IV. Provider business mailing address

PO BOX 466
MACON MS
39341-0466
US

V. Phone/Fax

Practice location:
  • Phone: 662-738-4455
  • Fax: 662-346-2868
Mailing address:
  • Phone: 662-738-4455
  • Fax: 662-346-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JAMES D RIGDON
Title or Position: OWNER
Credential:
Phone: 662-738-4455