Pavilion Pharmacy LLC
NPI #1851362230 in Springfield, Illinois
Provider Information
- NPI Number
- 1851362230
- Entity Type
- Organization
- Organization Name
- Pavilion Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 1, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 301 N 8TH ST
- Address 2
- STE 1A106
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62701-1041
- Phone
- (217) 789-4355
Authorized Official
- Name
- QUIN HOSTETLER
- Title
- MANAGER
- Phone
- (217) 789-4355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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