Provider Demographics
NPI:1215499751
Name:PIONEER DRUGS INC
Entity type:Organization
Organization Name:PIONEER DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-433-9928
Mailing Address - Street 1:6944 SEA HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-7280
Mailing Address - Country:US
Mailing Address - Phone:682-433-9928
Mailing Address - Fax:
Practice Address - Street 1:1117 W PIONEER PKWY STE 105
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6398
Practice Address - Country:US
Practice Address - Phone:682-273-0532
Practice Address - Fax:682-273-0534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy