Choice Source Therapeutic South LLC
NPI 1720069628ActiveOrganization· Pharmacy, Specialty Pharmacy· Daphne, AL
Pharmacy, Specialty Pharmacy in Daphne, Alabama, registered in NPPES in November 2005. The authorized official on file is David William Border, Authorized Signer.
Overview
| NPI | 1720069628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2005 |
| Last updated in NPPES | Aug 20, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 112079 | AL |
| Pharmacy | 333600000X | 112079 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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