Pavilion Pharmacy in Dallas - Pharmacy

Pavilion Pharmacy - NPI 1699769299

Pavilion Pharmacy is a Pharmacy in Dallas, Texas. Pavilion Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Pavilion Pharmacy is 1699769299. The last update date is 2023-03-07.

Pavilion Pharmacy's current location address is 221 W Colorado Blvd, Dallas, Texas. You can contact this provider via phone number 2149472435 and fax number 2149472436. The mailing address for Pavilion Pharmacy is 221 W Colorado Blvd, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pavilion Pharmacy
Address 221 W Colorado Blvd, Dallas, Texas
Phone Number 2149472435
Fax Number 2149472436
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Lieb Michael
Telephone Number 2149477511

NPI Number Detail

NPI Number 1699769299
Provider Enumeration Date 2005-09-09
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 221 W Colorado Blvd
City Dallas
State Texas (TX)
Post Code 752082363
Phone Number 2149472435
Fax Number 2149472436

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 13542
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
143603 TX --
4580684 NABP

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FAQs about Pavilion Pharmacy

What is the unique provider identifier assigned to Pavilion Pharmacy?

The Pavilion Pharmacy has been issued the NPI (National Provider Identifier) 1699769299 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Pavilion Pharmacy is physically located?

The Pavilion Pharmacy is situated at the following address: 221 W Colorado Blvd, Dallas, TX 752082363.

What is Pavilion Pharmacy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Pavilion Pharmacy is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1699769299 to Pavilion Pharmacy?

The Pavilion Pharmacy received its 1699769299 assignment from the Centers for Medicare & Medicaid Services on 2005-09-09.

As of what date was the information pertaining to Pavilion Pharmacy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Pavilion Pharmacy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.

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