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NPI Code Detail

MEDICARE: MEDCHOICE PHARMACY SERVICES, LLC

MEDICARE: MEDCHOICE PHARMACY SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy114292AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902220932
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDCHOICE PHARMACY SERVICES, LLC
Provider Business Mailing Address
First Line : 1 SOUTHERN WAY
Second Line :
City : MOBILE
State : AL
Zip : 36619-1210
Country : US
Telephone Number : 850-215-9428
Fax Number : 850-215-9428
Provider Business Practice Location Address
First Line : 1 SOUTHERN WAY
Second Line :
City : MOBILE
State : AL
Zip : 36619-1210
Country : US
Telephone Number : 251-544-9500
Fax Number : 250-544-9501
Authorized Official
Title or Position : PHARMACY MANAGER
Name : LEIGH A MATHES
Credential : PHARM D.
Telephone Number : 850-381-1433
Provider Enumeration Date : 02/11/2014
Last Update Date : 05/16/2022

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Directions to “MEDCHOICE PHARMACY SERVICES, LLC ” Practice Location

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