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Organization
CHOICE CRITICAL CARE RX LLC
Active
Organization
CHOICE CRITICAL CARE RX LLC
Active
Other names
CHOICE CRITICAL CARE LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MINNICH (PHARMACY MANAGER)
(717) 630-2773
Entity
Organization
Contact information
Practice address
330 NORTH AVE, EAST BERLIN, PA 17316-7831
(717) 630-2773
(717) 630-2824
Mailing address
330 NORTH AVE, EAST BERLIN, PA 17316-7831
(717) 630-2773
(717) 630-2824
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
333600000X
Pharmacy
PP414600L
PA
3336L0003X
Long Term Care Pharmacy
Primary
PP414600L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037377490001
—
PA
01
—
7812580001
NSC
PA
Enumeration date
09/20/2005
Last updated
02/07/2024
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