| Organization Name: | PIONEER HOME MEDICAL SUPPLY, INC. |
| NPI Number: | 1053422816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERALYN L PARKEY (OWNER/PRESIDENT) |
| Mailing Address: | 109 N Main St Henrietta |
| State: | TX US |
| Postal Code: | 763652847 |
| Phone Number: | 9405385220 |
| Fax Number: | 9405385523 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 11/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |