# PIONEER PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PIONEER PHARMACY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063920981
- **Authorized official:** AMANDA NOUREDDINE (PRESIDENT)
- **Authorized official phone:** (248) 957-6100

## Contact information

- **Practice address:** 24615-24617 HALSTED RD, FARMINGTON HILLS, MI 48335
- **Practice address phone:** (248) 957-6100
- **Practice address fax:** (248) 957-9994
- **Mailing address:** 24615-24617 HALSTED RD, FARMINGTON HILLS, MI 48335
- **Mailing address phone:** (248) 957-6100
- **Mailing address fax:** (248) 957-9994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 5301011356 | MI | Yes |

## Other

- **Enumeration date:** 01/12/2018
- **Last updated:** 05/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2175539 | PK | — |