Organization
FIRST CHOICE PHARMACY LLC
Active
Organization
FIRST CHOICE PHARMACY LLC
Active
Other names
FIRST CHOICE PHARMACY, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
SATISH BADDAM RPH (OWNER, PIC, AO)
(386) 219-1988
Entity
Organization
Contact information
Practice address
3208 CRILL AVE UNIT 2, PALATKA, FL 32177-4159
(386) 219-1988
(386) 385-3148
Mailing address
205 N ARABELLA WAY, SAINT JOHNS, FL 32259-8022
(904) 708-1661
(904) 800-1388
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29342
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017335500
—
FL
01
—
2159674
PK
—
Enumeration date
04/25/2016
Last updated
08/19/2016
Update your record
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