Pavilion Pointe Pharmacy

LBN: Witham Memorial Hospital
Pavilion Pointe Pharmacy is an health care organization with primary practice located at 2705 N Lebanon St Ste 100 , Lebanon IN 46052-8621. 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. Witham Memorial Hospital can be contacted via phone (765) 483-3900, or through Shay, Paul via phone (765) 483-3900.

Contact Information

Primary practice address
2705 N Lebanon St Ste 100 Lebanon IN 46052-8621
Phone: (765) 483-3900
Fax: (765) 483-3909
Website:
Map and Directions
Authorized official contact:
Name: Shay, Paul
Phone: (765) 483-3900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60006428A Indiana

Profile Details

NPI number 1902298557
LBN Legal business name Witham Memorial Hospital
DBA Doing business as Pavilion Pointe Pharmacy
Authorized official Shay, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2015
Last updated Mar 21st, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902298557 NPPES
Other 2147853 PK
MEDICAID 300067193 PK

Popular Providers