Organization
PIONEER FAMILY PHARMACY INC
Active
Other names
Pioneer Family Pharmacy 103
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K BRAIDWOOD RPH (PRESIDENT)
(989) 389-7277
Entity
Organization
Contact information
Practice address
114 SOUTH MORENCI AVE, MIO, MI 48647-1060
(989) 826-8989
(989) 826-3939
Mailing address
PO BOX 1060, MIO, MI 48647-1060
(989) 826-8989
(989) 826-3939
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007800
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-65408
NABP
—
05
—
2365408
—
MI
Enumeration date
11/08/2005
Last updated
10/05/2012
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