NPI | 1912985136 |
---|---|
Doing Business As | PIONEER PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | BRANDON HAGEN Owner 303-525-7990 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CO 643) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2016-11-04 |