Organization
PIONEER APCO LLC
Active
Parent organization
PIONEER APCO LLC
Other names
Upstream Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIONEER APCO LLC
Authorized official
JAMES R AUSTIN IV (CHIEF OPERATING OFFICER)
(336) 430-8450
Entity
Organization
Contact information
Practice address
1100 REVOLUTION MILL DR STE 10, GREENSBORO, NC 27405-5067
(336) 285-7985
(336) 617-0781
Mailing address
1100 REVOLUTION MILL DR STE 10, GREENSBORO, NC 27405-5067
(336) 285-7985
(336) 617-0781
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13839
PHARMACY PERMIT
NC
Enumeration date
09/20/2018
Last updated
08/05/2020
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