Organization
FIRST CHOICE PHARMACY INC
Active
Organization
FIRST CHOICE PHARMACY INC
Active
Other names
FIRST CHOICE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JACK JORGENSEN (PRESIDENT)
(989) 831-8338
Entity
Organization
Contact information
Practice address
215 N STATE ST, STANTON, MI 48888-9346
(989) 831-8363
(989) 831-7133
Mailing address
PO BOX 547, STANTON, MI 48888-0547
(989) 831-8363
(989) 831-7133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301004833
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1924285
—
MI
01
—
2344000
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/22/2005
Last updated
02/26/2010
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