Medical Pavilion Pharmacy

LBN: Medical Pavilion Pharmacy, Inc.
Medical Pavilion Pharmacy is an health care organization with primary practice located at 9460 No Name Uno Suite 100, Gilroy CA 95020-3537. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Medical Pavilion Pharmacy, Inc. can be contacted via phone (408) 842-2001, or through Basrai, Jasmine via phone (408) 842-2001.

Contact Information

Primary practice address
9460 No Name Uno Suite 100 Gilroy CA 95020-3537
Fax: (408) 842-7141
Website:
Authorized official contact:
Name: Basrai, Jasmine

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1205972254
LBN Legal business name Medical Pavilion Pharmacy, Inc.
DBA Doing business as Medical Pavilion Pharmacy
Authorized official Basrai, Jasmine
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Feb 7th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205972254 NPPES
California Other 47105 BOARD OF PHARMACY PERMIT

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