Healthcare Provider Details

I. General information

NPI: 1215448337
Provider Name (Legal Business Name): 1ST CHOICE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 NW 47TH ST STE C
OKLAHOMA CITY OK
73118-6403
US

IV. Provider business mailing address

9500 ORMSBY STATION RD STE 400
LOUISVILLE KY
40223-4076
US

V. Phone/Fax

Practice location:
  • Phone: 405-509-2469
  • Fax: 405-513-5971
Mailing address:
  • Phone: 502-760-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRAD ECKMANN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 502-314-0146