Organization
1ST CHOICE DRUG & TESTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK L HENDERSON (C.E.O.)
(318) 221-2407
Entity
Organization
Contact information
Practice address
1217 GARY ST, SHREVEPORT, LA 71101-4323
(318) 221-2407
(318) 221-2341
Mailing address
1217 GARY ST, SHREVEPORT, LA 71101-4323
(318) 221-2407
(318) 221-2341
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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