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NPI 1235883919

NPI 1235883919 : FIRST CHOICE RX, LLC : TOMBALL, TX

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General NPI Number Information
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    NPI Number           |    1235883919
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRST CHOICE RX, LLC 
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Dates
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    Enumeration Date     |    02/10/2022
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    Last Update Date     |    11/03/2022
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Provider Practice Location Address
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    Address Line         |    14302 ALICE RD 
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    City                 |    TOMBALL
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    State                |    TX
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    Zip                  |    77377-6226
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    Country              |    US
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    Telephone            |    832-422-3221
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    Fax                  |    832-422-3235
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Provider Business Mailing Address
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    Address Line         |    PO BOX 794 
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    City                 |    TOMBALL
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    State                |    TX
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    Zip                  |    77377-0794
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    Country              |    US
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    Telephone            |    832-422-3221
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    Fax                  |    832-422-3235
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Authorized Official
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    Title or Position    |    OFFICER/PIC
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    Name                 |     DEBRA  EZEAH 
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    Credential           |    
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    Telephone            |    832-422-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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