Pioneer Medical Pharmacy
LBN: Pioneer Medical Pharmacy Llc
Pioneer Medical Pharmacy is an health care organization with primary practice located at 12701 Telegraph Rd , Taylor MI 48180-6847. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pioneer Medical Pharmacy Llc can be contacted via phone (734) 250-8858, or through Chittiprolu, Chandra via phone (248) 635-8827.
Contact Information
Primary practice address
12701 Telegraph Rd
Taylor MI 48180-6847
Phone: (734) 250-8858
Fax: (734) 250-8901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301009756 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1043584725 |
|---|---|
| LBN Legal business name | Pioneer Medical Pharmacy Llc |
| DBA Doing business as | Pioneer Medical Pharmacy |
| Authorized official | Chittiprolu, Chandra |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2012 |
| Last updated | Nov 29th, 2022 - about 2 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 | 1043584725 | NPPES |
| Other | 2376398 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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