Pavilion Compounding Pharmacy

LBN: Pavilion Compounding Pharmacy Llc
Pavilion Compounding Pharmacy is an health care organization with primary practice located at 3193 Howell Mill Rd Nw Ste 122A, Atlanta GA 30327-2119. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pavilion Compounding Pharmacy Llc can be contacted via phone (404) 350-5780, or through Cherson, Brad via phone (404) 350-5780.

Contact Information

Primary practice address
3193 Howell Mill Rd Nw Ste 122A Atlanta GA 30327-2119
Phone: (404) 350-5780
Fax: (404) 350-5640
Website:
Map and Directions
Authorized official contact:
Name: Cherson, Brad RPH
Phone: (404) 350-5780

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE006901 Georgia
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1801926878
LBN Legal business name Pavilion Compounding Pharmacy Llc
DBA Doing business as Pavilion Compounding Pharmacy
Authorized official Cherson, Brad RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Mar 20th, 2014 - about 10 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 1801926878 NPPES
Other 2015906 PK

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