Pavilion Pharmacy

LBN: Pavilion Pharmacy
Pavilion Pharmacy is an health care organization with primary practice located at 221 W Colorado Blvd Suite 445, Dallas TX 75208-2363. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Pavilion Pharmacy can be contacted via phone (214) 947-2435, or through Lieb, Michael via phone (214) 947-7511.

Contact Information

Primary practice address
221 W Colorado Blvd Suite 445 Dallas TX 75208-2363
Phone: (214) 947-2435
Fax: (214) 947-2436
Website:
Map and Directions
Authorized official contact:
Name: Lieb, Michael
Phone: (214) 947-7511

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 13542 Texas

Profile Details

NPI number 1699769299
LBN Legal business name Pavilion Pharmacy
DBA Doing business as
Authorized official Lieb, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 7th, 2023 - about 2 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 1699769299 NPPES
Texas MEDICAID 143603
Texas Other 4580684

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