Pioneer Pharmacy Services

LBN: Wasatch Front Ltc Pharmacy
Pioneer Pharmacy Services is an health care organization with primary practice located at 11585 S State St Ste 103 , Draper UT 84020-7403. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Wasatch Front Ltc Pharmacy can be contacted via phone (801) 890-0346, or through Hagen, Brandon via phone (801) 890-0346.

Contact Information

Primary practice address
11585 S State St Ste 103 Draper UT 84020-7403
Phone: (801) 890-0346
Fax: (801) 542-0491
Website:
Map and Directions
Authorized official contact:
Name: Hagen, Brandon
Phone: (801) 890-0346

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 9012387-1704 Utah

Profile Details

NPI number 1760890016
LBN Legal business name Wasatch Front Ltc Pharmacy
DBA Doing business as Pioneer Pharmacy Services
Authorized official Hagen, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2014
Last updated Jul 31st, 2014 - about 10 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 1760890016 NPPES
Other 2147019 PK

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