Provider Demographics
NPI:1730242827
Name:FIRST CHOICE PHARMACY CORP.
Entity type:Organization
Organization Name:FIRST CHOICE PHARMACY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-992-2368
Mailing Address - Street 1:5912 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4388
Mailing Address - Country:US
Mailing Address - Phone:718-439-8077
Mailing Address - Fax:718-439-8096
Practice Address - Street 1:5912 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4388
Practice Address - Country:US
Practice Address - Phone:718-439-8077
Practice Address - Fax:718-439-8096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy