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PAVILION COMPOUNDING PHARMACY LLC NPI 1801926878


NPI Information

NPI: 1801926878
Provider Name: PAVILION COMPOUNDING PHARMACY LLC

Doing Business As: PAVILION COMPOUNDING PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3193 HOWELL MILL RD NW
STE 122A
ATLANTA, GA
ZIP 30327
Phone: (404) 350-5780
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PAVILION COMPOUNDING PHARMACY LLC is a community/retail pharmacy pharmacy in Atlanta, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PAVILION COMPOUNDING PHARMACY LLC NPI is 1801926878. The provider is registered as an organization entity type.
The provider Is Doing Business As Pavilion Compounding Pharmacy.

The provider's business location address is:

3193 HOWELL MILL RD NW
STE 122A
ATLANTA, GA
ZIP 30327-119
Phone: (404) 350-5780
Fax: (404) 350-5640

The provider's authorized official is Brad Cherson .
The authorized official title is Owner/manager and has the following contact phone number (404) 350-5780.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 3/20/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPHRE006901GEORGIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12015906OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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