Organization
PIONEER RX PHARMACY LLC
Active
Other names
PIONEER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAJI THOMAS (AMBR)
(407) 593-1600
Entity
Organization
Contact information
Practice address
494 PONDEROSA DR, SAINT CLOUD, FL 34769-1656
(407) 968-4218
Mailing address
494 PONDEROSA DR, SAINT CLOUD, FL 34769-1656
(407) 968-4218
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
12/04/2023
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