Provider Demographics
NPI:1982046116
Name:WORKERS' CHOICE PHARMACY
Entity Type:Organization
Organization Name:WORKERS' CHOICE PHARMACY
Other - Org Name:1ST CHOICE PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:267-338-4532
Mailing Address - Street 1:928 JAYMOR RD STE A200
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3841
Mailing Address - Country:US
Mailing Address - Phone:267-338-4532
Mailing Address - Fax:610-667-1311
Practice Address - Street 1:928 JAYMOR RD STE A200
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3841
Practice Address - Country:US
Practice Address - Phone:267-338-4532
Practice Address - Fax:610-667-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP482404333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2147098OtherPK