PAVILION PHARMACY NPI 1699769299

NPI Information

PAVILION PHARMACY is a pharmacy in Dallas, TX. The provider is 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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PAVILION PHARMACY NPI is 1699769299. The provider is registered as an organization entity type.

The provider's business location address is:

221 W COLORADO BLVD
SUITE 445
DALLAS, TX
ZIP 75208-363
Phone: (214) 947-2435
Fax: (214) 947-2436

The provider's authorized official is Michael Lieb .
The authorized official title is President and has the following contact phone number (214) 947-7511.

The enumeration date for this NPI number is 9/9/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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