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CHOICE SOURCE THERAPEUTIC SOUTH LLC
NPI 1720069628
Pharmacy - Specialty Pharmacy in Daphne, AL

Active since November 08, 2005
1048 STANTON RD, SUITE A, DAPHNE, AL 36526(251) 621-5300(251) 621-5318 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Choice Source Therapeutic South Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHOICE SOURCE THERAPEUTIC SOUTH LLC (NPI 1720069628) is a healthcare organization registered as a specialty pharmacy in Daphne, Alabama and active in the NPI registry since November 2005. The organization lists David William Border, Authorized Signer, as its authorized official.

NPPES Registry Identity

NPI1720069628
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameCHOICE SOURCE THERAPEUTIC SOUTH LLC
Location Address1048 STANTON RD, SUITE ADaphne, AL 36526-4294
Mailing AddressDepartment 6175Los Angeles, CA 90088-6175 · (800) 225-5967 · Fax (909) 799-4364
Phone(251) 621-5300
Fax(251) 621-5318
Organization SubpartNo
Authorized OfficialDavid William BorderAuthorized Signer · (800) 225-5967
Enumeration DateNovember 8, 2005
Last NPPES UpdateAugust 20, 2007
✔ NPI 1720069628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 112079 (AL)
Also ListedPharmacyTaxonomy 333600000X · License 112079 (AL)
1048 STANTON RD, Daphne, AL 36526
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Other Identifiers 2

Medicaid0330543MS
Medicare NSC5535140001AL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDDLE BAY VENTURES LLC -
In Home Supportive Care
1048 STANTON RD, SUITE D
DAPHNE, AL 36526
Baldwin County (251) 621-1900
COMPOUND PHARMACEUTICAL TECHNOLOGIES, INC.
Pharmacy (Compounding Pharmacy)
1048 STANTON RD, SUITE B
DAPHNE, AL 36526
Baldwin County (251) 626-2820
MIDDLE BAY VENTURES LLC
Home Health
1048 STANTON RD, SUITE D
DAPHNE, AL 36526
Baldwin County (251) 621-1900
GWEN CHERYL ZIMMERLY M.A.
Counselor
1048 STANTON RD, SUITE F
DAPHNE, AL 36526
Baldwin County (251) 621-5360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Choice Source Therapeutic South LLC's NPI number?

The NPI number for Choice Source Therapeutic South LLC is 1720069628. It was assigned to this organization in the NPPES registry on November 8, 2005.

Where is Choice Source Therapeutic South LLC located?

Choice Source Therapeutic South LLC is located at 1048 Stanton Rd Suite A, Daphne, AL 36526. The listed phone number is (251) 621-5300.

What is Choice Source Therapeutic South LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

When was this NPI record last updated?

The NPPES record for Choice Source Therapeutic South LLC was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.