NPI | 1225170509 |
---|---|
Doing Business As | PIONEER PHARMACY |
Entity Type | Organization |
Authorized Contact | LARRY OLIVER Manager/Owner 210-492-3005 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 21462) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2007-02-13 |
Last Update Date | 2015-06-10 |