Organization · Type 2 NPI

Pioneer Apco LLC

Community/Retail Pharmacy · Eden, NC

NPI number 1407582729 Active

Practice location

723 S Van Buren Rd Ste A
Eden, NC 27288-5321

Call (336) 285-7985 Map

Fax (336) 617-0781

Mailing address

1100 Revolution Mill Dr Ste 10
Greensboro, NC 27405-5067

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1407582729
Entity type: Organization (Type 2)
Issued: Jul 28, 2022
Last updated: Jul 28, 2022
Status: Active
Subpart: Yes of Upstream Care Company

Other names

Upstream Pharmacy Eden · doing business as

Authorized official

John Richard White, PharmD
Director of Pharmacy
(336) 509-5751

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407582729

Pioneer Apco LLC's National Provider Identifier is 1407582729, issued on Jul 28, 2022. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Eden, NC. The record was last updated on Jul 28, 2022.