Organization
PIONEER FAMILY PHARMACY INC
Active
Organization
PIONEER FAMILY PHARMACY INC
Active
Other names
Pioneer Family Pharmacy 101
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K BRAIDWOOD RPH (PRESIDENT)
(989) 389-7277
Entity
Organization
Contact information
Practice address
2206 S M 76, WEST BRANCH, MI 48661-9343
(989) 345-5610
(989) 345-7987
Mailing address
PO BOX 38, SAINT HELEN, MI 48656-0038
(989) 345-5610
(989) 345-7987
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301004958
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1939715
—
MI
01
—
23-44048
NABP
—
Enumeration date
11/08/2005
Last updated
10/05/2012
Update your record
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