Organization
PIONEER FAMILY PHARMACY INC
Active
Other names
Pioneer Family Pharmacy 102
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K BRAIDWOOD RPH (PRESIDENT)
(989) 389-7277
Entity
Organization
Contact information
Practice address
2100 N SAINT HELEN RD, SAINT HELEN, MI 48656-9209
(989) 389-7252
(989) 389-7232
Mailing address
PO BOX 38, SAINT HELEN, MI 48656-0038
(989) 389-7252
(989) 389-7232
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007107
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-60698
NABP
—
05
—
4158031
—
MI
Enumeration date
11/08/2005
Last updated
03/23/2017
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