| NPI | 1134585011 |
|---|---|
| Doing Business As | PIONEER PHARMACY 1 INC |
| Entity Type | Organization |
| Authorized Contact | ALI MOUKDAD Owner/PIC 248-957-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010808) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-08-02 |