Provider Demographics
NPI:1760873731
Name:TRUE CHOICE RX INC
Entity Type:Organization
Organization Name:TRUE CHOICE RX INC
Other - Org Name:TRUE CHOICE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEKSEYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-696-1112
Mailing Address - Street 1:624 E COLORADO ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-5320
Mailing Address - Country:US
Mailing Address - Phone:818-696-1112
Mailing Address - Fax:818-969-1110
Practice Address - Street 1:624 E COLORADO ST
Practice Address - Street 2:UNIT B
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-5320
Practice Address - Country:US
Practice Address - Phone:818-696-1112
Practice Address - Fax:818-969-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY545813336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56-54149OtherNCPDP NUMBER
CAPHY54581OtherSTATE BOARD OF PHARMACY PERMIT