Healthcare Provider Details

I. General information

NPI: 1285024992
Provider Name (Legal Business Name): PIONEER PHARMACEUTICALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2015
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 AVENUE H STE 18
ROSENBERG TX
77471-2024
US

IV. Provider business mailing address

5101 AVENUE H STE 18
ROSENBERG TX
77471-2024
US

V. Phone/Fax

Practice location:
  • Phone: 832-759-5114
  • Fax: 832-779-8434
Mailing address:
  • Phone: 832-759-5114
  • Fax: 832-779-8434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number29739
License Number StateTX

VIII. Authorized Official

Name: DAVID SOBLICK
Title or Position: PRESIDENT
Credential:
Phone: 832-759-5114