Choice Source Therapeutic South Llc

LBN: Choice Source Therapeutic South Llc
Choice Source Therapeutic South Llc is an health care organization with primary practice located at 1048 Stanton Rd Suite A, Daphne AL 36526-4294. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Choice Source Therapeutic South Llc can be contacted via phone (251) 621-5300, or through Border, David William via phone (800) 225-5967.

Contact Information

Primary practice address
1048 Stanton Rd Suite A Daphne AL 36526-4294
Phone: (251) 621-5300
Fax: (251) 621-5318
Website:
Map and Directions
Authorized official contact:
Name: Border, David William
Phone: (800) 225-5967

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 112079 Alabama
Suppliers / Pharmacy 333600000X 112079 Alabama
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1720069628
LBN Legal business name Choice Source Therapeutic South Llc
DBA Doing business as
Authorized official Border, David William
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Aug 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720069628 NPPES
Mississippi MEDICAID 0330543

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