OrganizationActive
Choice Source Therapeutic South LLC
NPI 1720069628 · Specialty Pharmacy · Daphne, AL
Provider details
- NPI number
- 1720069628
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Border, Authorized Signer(800) 225-5967
- License
- 112079 (AL)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Practice location
1048 Stanton Rd
Suite a
Daphne, AL 36526-4294
Phone: (251) 621-5300
Fax: (251) 621-5318
Approximate (ZIP-level) locationGet directions
Mailing address
Department 6175
Los Angeles, CA 90088-6175
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2007-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.