Pioneer Pharmacy
LBN: Eila Corporation
Pioneer Pharmacy is an health care organization with primary practice located at 4503 De Zavala Rd Ste 108 , San Antonio TX 78249-2060. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Eila Corporation can be contacted via phone (210) 492-3005, or through Oliver, Larry via phone (210) 492-3005.
Contact Information
Primary practice address
4503 De Zavala Rd Ste 108
San Antonio TX 78249-2060
Phone: (210) 492-3005
Fax: (210) 492-3007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 21462 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1225170509 |
|---|---|
| LBN Legal business name | Eila Corporation |
| DBA Doing business as | Pioneer Pharmacy |
| Authorized official | Oliver, Larry RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jun 10th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225170509 | NPPES |
| Texas | MEDICAID | 145149 | |
| Texas | MEDICAID | 091708005 | |
| Texas | MEDICAID | 091708003 | |
| Texas | MEDICAID | 091708004 | |
| Texas | Other | 2093424 | |
| Texas | MEDICAID | 145952 |
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