Organization
CARDINAL HEALTH PHARMACY SERVICES LLC
Active
Other names
First Choice Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BROWN (PRESIDENT)
(281) 749-4764
Entity
Organization
Contact information
Practice address
770 WALNUT ST STE 100, MACON, GA 31201-7307
(478) 741-5098
(478) 742-7795
Mailing address
770 WALNUT ST STE 100, MACON, GA 31201-7307
(478) 741-5098
(478) 742-7795
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010254
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157393
PK
—
Enumeration date
01/08/2016
Last updated
01/13/2016
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