Organization
CHOICE CRITICAL CARE RX LLC
Active
Other names
CHOICE CRITICAL CARE LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MINNICH (PHARMACY MANAGER)
(717) 630-2773
Entity
Organization
Contact information
Practice address
330 NORTH AVE, EAST BERLIN, PA 17316-7831
(717) 630-2773
(717) 630-2824
Mailing address
330 NORTH AVE, EAST BERLIN, PA 17316-7831
(717) 630-2773
(717) 630-2824
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
PP414600L
PA
3336L0003X
Long Term Care Pharmacy
Primary
PP414600L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037377490001
—
PA
01
—
7812580001
NSC
PA
Enumeration date
09/20/2005
Last updated
02/07/2024
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