Organization
FIRST CHOICE SPECIALTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OSBORNE (MANAGING MEMBER)
(615) 562-3244
Entity
Organization
Contact information
Practice address
116 VILLAGE ST STE 1, SLIDELL, LA 70458-5300
(866) 665-3244
(844) 324-3244
Mailing address
600 COMMONS DR STE 101, GALLATIN, TN 37066-6331
(866) 665-3244
(844) 324-3244
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11222642
LA SEC OF STATE
LA
Enumeration date
11/17/2021
Last updated
11/17/2021
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