<Unavail>
LBN: The Pavilion Corporation
<Unavail> is an health care organization with primary practice located at 453 E 28Th St , Baltimore MD 21218-4426. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
The Pavilion Corporation can be contacted via phone (410) 467-4471, or through Otubanjo, Adesola Hakeem via phone (410) 467-4471.
Contact Information
Primary practice address
453 E 28Th St
Baltimore MD 21218-4426
Phone: (410) 467-4471
Fax: (410) 467-4553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P02225 | Maryland |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1194760520 |
|---|---|
| LBN Legal business name | The Pavilion Corporation |
| DBA Doing business as | <Unavail> |
| Authorized official | Otubanjo, Adesola Hakeem |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Mar 11th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194760520 | NPPES |
| Maryland | MEDICAID | 014402900 | |
| Maryland | Other | 2122404 |
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