# PIONEER DRUG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Valley Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689238479
- **Authorized official:** SHELDON BIRCH PHARMD (MANAGING MEMBER/PHARMACIST)
- **Authorized official phone:** (435) 882-7775

## Contact information

- **Practice address:** 3435 E PONY EXPRESS PARKWAY, SUITE 150, EAGLE MOUNTAIN, UT 84005
- **Practice address phone:** (801) 753-5100
- **Practice address fax:** (801) 753-5101
- **Mailing address:** 4776 AUTUMN CV, ERDA, UT 84074-5548
- **Mailing address phone:** (435) 882-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2019
- **Last updated:** 08/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1689238479 | MEDICARE | UT |
| 05 | — | 1689238479 | — | UT |