Pavilion Pharmacy West

LBN: Pavilion Pharmacy West
Pavilion Pharmacy West is an health care organization with primary practice located at 2901 Old Jacksonville Rd , Springfield IL 62704-7437. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Pavilion Pharmacy West can be contacted via phone (217) 698-3888, or through Hostetler, Quin C via phone (217) 698-3888.

Contact Information

Primary practice address
2901 Old Jacksonville Rd Springfield IL 62704-7437
Phone: (217) 698-3888
Fax: (217) 698-7649
Website:
Map and Directions
Authorized official contact:
Name: Hostetler, Quin C R. PH.
Phone: (217) 698-3888

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1063483451
LBN Legal business name Pavilion Pharmacy West
DBA Doing business as
Authorized official Hostetler, Quin C R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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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