<Unavail>

LBN: Pioneer Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 1115 Elkton Dr Ste 203 , Colorado Springs CO 80907-3597. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Pioneer Pharmacy Llc can be contacted via phone (303) 252-7990, or through Hagen, Brandon via phone (303) 252-7990.

Contact Information

Primary practice address
1115 Elkton Dr Ste 203 Colorado Springs CO 80907-3597
Phone: (303) 252-7990
Fax: (303) 252-7991
Website:
Map and Directions
Authorized official contact:
Name: Hagen, Brandon
Phone: (303) 252-7990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 841 Colorado

Profile Details

NPI number 1548536899
LBN Legal business name Pioneer Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Hagen, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2012
Last updated Jun 1st, 2012 - about 14 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 1548536899 NPPES
Other 0622476 NCPDP PROVIDER IDENTIFICATION NUMBER

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