Organization
PIONEER PHARMACY SERVICES LLC
Active
Other names
PIONEER PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NOUREDDINE (PRESIDENT)
(248) 957-6100
Entity
Organization
Contact information
Practice address
24615-24617 HALSTED RD, FARMINGTON HILLS, MI 48335
(248) 957-6100
(248) 957-9994
Mailing address
24615-24617 HALSTED RD, FARMINGTON HILLS, MI 48335
(248) 957-6100
(248) 957-9994
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301011356
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175539
PK
—
Enumeration date
01/12/2018
Last updated
05/17/2021
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