Provider Demographics
NPI:1740922806
Name:1ST CHOICE PHARMACY
Entity type:Organization
Organization Name:1ST CHOICE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RABIH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUNZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-288-0551
Mailing Address - Street 1:21411 GODDARD RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-4247
Mailing Address - Country:US
Mailing Address - Phone:734-288-0551
Mailing Address - Fax:734-288-0555
Practice Address - Street 1:21411 GODDARD RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4247
Practice Address - Country:US
Practice Address - Phone:734-288-0551
Practice Address - Fax:734-288-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-10
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy