Pavilion Infusion Therapy Inc in Jacksonville - Compounding Pharmacy
Pavilion Infusion Therapy Inc - NPI 1962413500
Pavilion Infusion Therapy Inc is a Compounding Pharmacy in Jacksonville, Florida. Pavilion Infusion Therapy Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Pavilion Infusion Therapy Inc is 1962413500. The last update date is 2017-03-16.
Pavilion Infusion Therapy Inc's current location address is 3563 Philips Hwy, Jacksonville, Florida. You can contact this provider via phone number 9042025730 and fax number 9043982225. The mailing address for Pavilion Infusion Therapy Inc is 3563 Philips Hwy, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pavilion Infusion Therapy Inc |
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Address | 3563 Philips Hwy, Jacksonville, Florida |
Phone Number | 9042025730 |
Fax Number | 9043982225 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | VP |
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Authorized Official Name | Durkin Christopher |
Credentials | FHFMA |
Telephone Number | 9042025887 |
NPI Number Detail
NPI Number | 1962413500 |
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Provider Enumeration Date | 2006-08-10 |
Last Updated Date | 2017-03-16 |
Provider Mailing Address Detail
Address | 3563 Philips Hwy |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322075663 |
Phone Number | 9042025730 |
Fax Number | 9043982225 |
Provider's Primary Taxonomy Detail
Speciality | Compounding Pharmacy |
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Taxonomy | 3336C0004X |
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
102335700 | FL | -- | |
2011769 | PK |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pavilion Infusion Therapy Inc by the Centers for Medicare & Medicaid Services?
The Pavilion Infusion Therapy Inc has been assigned the NPI (National Provider Identifier) 1962413500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Pavilion Infusion Therapy Inc is geographically located?
The Pavilion Infusion Therapy Inc is physically situated at the following location: 3563 Philips Hwy, Jacksonville, FL, 322075663.
What is the Pavilion Infusion Therapy Inc's specialty and taxonomy code?
The Pavilion Infusion Therapy Inc's specialty is Compounding Pharmacy, and the corresponding taxonomy code is 3336C0004X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962413500 to Pavilion Infusion Therapy Inc?
The Centers for Medicare & Medicaid Services assigned the 1962413500 to Pavilion Infusion Therapy Inc on 2006-08-10.
As of what date were the details related to Pavilion Infusion Therapy Inc most recently updated or revised?
The information pertaining to Pavilion Infusion Therapy Inc, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-16.
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