Choice Source Therapeutic South Llc
Specialty Pharmacy
1048 Stanton Rd, Suite A, Daphne
Alabama, 36526-4294
251-621-5300 251-621-5318
Choice Source Therapeutic South Llc is a Specialty Pharmacy in Daphne, Alabama. It is located at 1048 Stanton Rd, Suite A, Daphne and it's customer support contact number is 251-621-5300. The authorized person of Choice Source Therapeutic South Llc is Mr. David William Border who is Authorized Signer of the pharmacy and his contact number is 800-225-5967.
Choice Source Therapeutic South Llc is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Pharmacy Details:
Choice Source Therapeutic South Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Choice Source Therapeutic South Llc |
| Type: | Specialty Pharmacy |
| Location: | 1048 Stanton Rd, Suite A, Daphne,
Alabama, 36526-4294 |
| Phone: | 251-621-5300 |
| Fax: | 251-621-5318 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. David William Border |
| Position: | Authorized Signer |
| Contact Number: | 800-225-5967 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1720069628 |
| NPI Enumeration Date: | 08 Nov, 2005 |
| NPI Last Update On: | 20 Aug, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Choice Source Therapeutic South Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | | | Primary | |
| Durable Medical Equipment & Medical Supplies | 112079 | Alabama | Secondary | |
| Pharmacy | 112079 | Alabama | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0330543 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Department 6175,
Los Angeles, California |
| Zip: | 90088-6175 |
| Phone Number: | 800-225-5967 |
| Fax Number: | 909-799-4364 |
Patients can reach Choice Source Therapeutic South Llc at
1048 Stanton Rd, Suite A, Daphne, Alabama or can
call on customer care at 251-621-5300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.