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
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