NPI | 1548536899 |
---|---|
Doing Business As | PIONEER PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | BRANDON HAGEN Director Of Operations 303-252-7990 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CO 841) |
Enumeration Date | 2012-03-30 |
Last Update Date | 2012-06-01 |