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General NPI Number Information
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NPI Number | 1093115446
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE PHARMACY MANAGEMENT, LLC
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 13025 POMERADO RD STE A
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City | POWAY
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State | CA
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Zip | 92064-4248
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Country | US
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Telephone | 858-218-3180
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Fax | 858-218-8790
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Provider Business Mailing Address
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Address Line | 788 MORRIS TURNPIKE FL 3
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City | SHORT HILLS
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State | NJ
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Zip | 07078
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Country | US
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Telephone | 973-869-2820
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Fax | 973-869-2822
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Authorized Official
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Title or Position | PRESIDENT & OFFICER
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Name | MR. ANUSH AMIN
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Credential |
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Telephone | 973-869-2820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY55868
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License Number State | CA
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