NPI | 1235294661 |
---|---|
Doing Business As | PROFESSIONAL PAVILION PHARMACY |
Entity Type | Organization |
Authorized Contact | ROBERTO MARTIN Owner 210-271-7575 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 17417) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-12-26 |
Last Update Date | 2012-10-19 |