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General NPI Number Information
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NPI Number | 1790269165
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Entity Type | Organization
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Legal Business Name | PIONEER APCO LLC
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 1100 REVOLUTION MILL DR STE 10
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City | GREENSBORO
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State | NC
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Zip | 27405-5067
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Country | US
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Telephone | 336-285-7985
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Fax | 336-617-0781
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Provider Business Mailing Address
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Address Line | 1100 REVOLUTION MILL DR STE 10
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City | GREENSBORO
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State | NC
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Zip | 27405-5067
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Country | US
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Telephone | 336-285-7985
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Fax | 336-617-0781
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JAMES R AUSTIN IV
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Credential |
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Telephone | 336-430-8450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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