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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