Pioneer Family Pharmacy 102

LBN: Pioneer Family Pharmacy Inc
Pioneer Family Pharmacy 102 is an health care organization with primary practice located at 2100 N Saint Helen Rd , Saint Helen MI 48656-9209. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pioneer Family Pharmacy Inc can be contacted via phone (989) 389-7252, or through Braidwood, Richard K via phone (989) 389-7277.

Contact Information

Primary practice address
2100 N Saint Helen Rd Saint Helen MI 48656-9209
Phone: (989) 389-7252
Fax: (989) 389-7232
Website:
Map and Directions
Authorized official contact:
Name: Braidwood, Richard K RPH
Phone: (989) 389-7277

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007107 Michigan

Profile Details

NPI number 1154302073
LBN Legal business name Pioneer Family Pharmacy Inc
DBA Doing business as Pioneer Family Pharmacy 102
Authorized official Braidwood, Richard K RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 23rd, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154302073 NPPES
Other 23-60698 NABP
MEDICAID 4158031 NABP

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