Organization
PIONEER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA HAIDAR PHARMD (OWNER)
(248) 422-6799
Entity
Organization
Contact information
Practice address
2221 LIVERNOIS RD STE 100, TROY, MI 48083-1603
(248) 422-6799
(248) 422-6850
Mailing address
2221 LIVERNOIS RD STE 100, TROY, MI 48083-1603
(248) 422-6799
(248) 422-6850
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
08/23/2024
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