# CHOICE CRITICAL CARE RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHOICE CRITICAL CARE LTC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508852120
- **Authorized official:** PAUL MINNICH (PHARMACY MANAGER)
- **Authorized official phone:** (717) 630-2773

## Contact information

- **Practice address:** 330 NORTH AVE, EAST BERLIN, PA 17316-7831
- **Practice address phone:** (717) 630-2773
- **Practice address fax:** (717) 630-2824
- **Mailing address:** 330 NORTH AVE, EAST BERLIN, PA 17316-7831
- **Mailing address phone:** (717) 630-2773
- **Mailing address fax:** (717) 630-2824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | PP414600L | PA | — |
| 3336L0003X | Long Term Care Pharmacy | PP414600L | PA | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 02/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1037377490001 | — | PA |
| 01 | — | 7812580001 | NSC | PA |