Pavilion Pharmacy Llc

LBN: Pavilion Pharmacy Llc
Pavilion Pharmacy Llc is an health care organization with primary practice located at 301 N 8Th St Ste 1A106, Springfield IL 62701-1041. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pavilion Pharmacy Llc can be contacted via phone (217) 789-4355, or through Hostetler, Quin via phone (217) 789-4355.

Contact Information

Primary practice address
301 N 8Th St Ste 1A106 Springfield IL 62701-1041
Phone: (217) 789-4355
Fax: (217) 789-0129
Website:
Map and Directions
Authorized official contact:
Name: Hostetler, Quin
Phone: (217) 789-4355

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Illinois

Profile Details

NPI number 1851362230
LBN Legal business name Pavilion Pharmacy Llc
DBA Doing business as
Authorized official Hostetler, Quin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851362230 NPPES
Other 1458442 OTHER ID NUMBER

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