Organization
PREFERRED CHOICE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PROSCH RPH (PRESIDENT)
(651) 582-0286
Entity
Organization
Contact information
Practice address
900 LONG LAKE RD, STE 150, NEW BRIGHTON, MN 55112-6428
(651) 636-3919
(651) 582-0290
Mailing address
900 LONG LAKE RD, STE 150, NEW BRIGHTON, MN 55112-6428
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
262161
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2425090
OTHER ID NUMBER
—
Enumeration date
03/08/2007
Last updated
10/18/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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