Pavilion Pharmacy LLC

Community/Retail Pharmacy · Springfield, IL

Organization Active NPI

NPI number 1851362230

Practice location

301 N 8TH St
Ste 1a106
Springfield, IL 62701-1041
Phone
(217) 789-4355
Fax
(217) 789-0129

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NPI record

NPI
1851362230
Entity type
Organization (Type 2)
Enumeration date
February 1, 2006
Last updated
April 20, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X — IL
Pharmacy 333600000X — —

Authorized official

Name
Quin Hostetler
Title
Manager
Phone
(217) 789-4355

About Pavilion Pharmacy LLC

Pavilion Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 301 N 8TH St, Ste 1a106, Springfield, IL 62701-1041. The NPI number 1851362230 was assigned on February 1, 2006 and the record was last updated on April 20, 2008.

The authorized official for this organization is Quin Hostetler, Manager.

Frequently asked questions

What is the NPI number of Pavilion Pharmacy LLC?

The NPI number is 1851362230.

What is the phone number of Pavilion Pharmacy LLC?

The phone number listed for the practice location is (217) 789-4355.

Where is Pavilion Pharmacy LLC located?

301 N 8TH St, Ste 1a106, Springfield, IL 62701-1041.

What is the taxonomy code for Pavilion Pharmacy LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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