Provider Demographics
NPI:1659607919
Name:DOCTORS CHOICE PHARMACY,LLC
Entity Type:Organization
Organization Name:DOCTORS CHOICE PHARMACY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:GIRLDEN
Authorized Official - Last Name:BOGGS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:859-684-4115
Mailing Address - Street 1:905 EDGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-5024
Mailing Address - Country:US
Mailing Address - Phone:859-684-4115
Mailing Address - Fax:
Practice Address - Street 1:905 EDGEWOOD CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-5024
Practice Address - Country:US
Practice Address - Phone:859-684-4115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy