# PREFERRED CHOICE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003947102
- **Authorized official:** JEFFREY PROSCH RPH (PRESIDENT)
- **Authorized official phone:** (651) 582-0286

## Contact information

- **Practice address:** 900 LONG LAKE RD, STE 150, NEW BRIGHTON, MN 55112-6428
- **Practice address phone:** (651) 636-3919
- **Practice address fax:** (651) 582-0290
- **Mailing address:** 900 LONG LAKE RD, STE 150, NEW BRIGHTON, MN 55112-6428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 262161 | MN | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 10/18/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2425090 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |