Pioneer Pharmacy Llc

LBN: Pioneer Pharmacy Llc
Pioneer Pharmacy Llc is an health care organization with primary practice located at 3895 Upham St Ste 60, Wheat Ridge CO 80033-4651. 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) 525-7990.

Contact Information

Primary practice address
3895 Upham St Ste 60 Wheat Ridge CO 80033-4651
Phone: (303) 252-7990
Fax: (303) 252-7991
Website:
Map and Directions
Authorized official contact:
Name: Hagen, Brandon
Phone: (303) 525-7990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 643 Colorado

Profile Details

NPI number 1912985136
LBN Legal business name Pioneer Pharmacy Llc
DBA Doing business as Pioneer Pharmacy Llc
Authorized official Hagen, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated Nov 4th, 2016 - about 10 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 1912985136 NPPES
Other 2003854 PK
MEDICAID A5857059 PK

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