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NPI 1912819012

NPI 1912819012 : FIRST CHOICE PHARMACY-LTC : BROOKSVILLE, MS

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General NPI Number Information
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    NPI Number           |    1912819012
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRST CHOICE PHARMACY-LTC 
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Dates
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    Enumeration Date     |    09/22/2026
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    Last Update Date     |    09/22/2026
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Provider Practice Location Address
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    Address Line         |    89 MS HIGHWAY 388 
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    City                 |    BROOKSVILLE
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    State                |    MS
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    Zip                  |    39739-9071
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    Country              |    US
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    Telephone            |    662-738-4455
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    Fax                  |    662-346-2868
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Provider Business Mailing Address
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    Address Line         |    PO BOX 466 
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    City                 |    MACON
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    State                |    MS
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    Zip                  |    39341-0466
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    Country              |    US
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    Telephone            |    662-738-4455
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    Fax                  |    662-346-2868
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JAMES D RIGDON 
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    Credential           |    
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    Telephone            |    662-738-4455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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