Pavilion Pharmacy West in Springfield - Pharmacist
Pavilion Pharmacy West - NPI 1063483451
Pavilion Pharmacy West is a Pharmacist in Springfield, Illinois. Pavilion Pharmacy West practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Pavilion Pharmacy West is 1063483451. The last update date is 2020-08-22.
Pavilion Pharmacy West's current location address is 2901 Old Jacksonville Rd, Springfield, Illinois. You can contact this provider via phone number 2176983888 and fax number 2176987649. The mailing address for Pavilion Pharmacy West is 2901 Old Jacksonville Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pavilion Pharmacy West |
|---|---|
| Address | 2901 Old Jacksonville Rd, Springfield, Illinois |
| Phone Number | 2176983888 |
| Fax Number | 2176987649 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Hostetler C Quin |
| Credentials | R. PH. |
| Telephone Number | 2176983888 |
NPI Number Detail
| NPI Number | 1063483451 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2901 Old Jacksonville Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627047437 |
| Phone Number | 2176983888 |
| Fax Number | 2176987649 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique provider identifier assigned to Pavilion Pharmacy West?
The Pavilion Pharmacy West has been issued the NPI (National Provider Identifier) 1063483451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Pavilion Pharmacy West located?
The Pavilion Pharmacy West is located at 2901 Old Jacksonville Rd, Springfield, IL 627047437.
What is Pavilion Pharmacy West's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pavilion Pharmacy West's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
When did the Pavilion Pharmacy West receive its 1063483451?
The Pavilion Pharmacy West was issued its 1063483451 on 2006-02-01, which is the date when the organization was assigned this unique identifier.
When was the Pavilion Pharmacy West's information last updated?
The Pavilion Pharmacy West's information was last updated on 2020-08-22.