# PIONEER PHARMACY SERVICES II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477226017
- **Authorized official:** MR. RAJ PATEL RPH (PHARMACIST IN CHARGE)
- **Authorized official phone:** (616) 406-5310

## Contact information

- **Practice address:** 7650 VENTURE AVE NW, SPARTA, MI 49345-9395
- **Practice address phone:** (616) 406-5310
- **Mailing address:** PO BOX 190, ALLENDALE, MI 49401-0190
- **Mailing address phone:** (616) 406-5310

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2021
- **Last updated:** 07/29/2021