Pavilion Foundation Pharmacy

NPI #1780055608 in Champaign, Illinois

Provider Information

NPI Number
1780055608
Entity Type
Organization
Organization Name
Pavilion Foundation Pharmacy
Primary Specialty
Psychiatric Hospital
Enumeration Date
Oct 19, 2015
Last Updated
Oct 19, 2015

Practice Location

Address
809 W CHURCH ST
ZIP Code
61820-3320
Phone
(217) 373-1860

Authorized Official

Name
JOE SHEEHY
Title
CEO
Phone
(217) 373-1700

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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