| 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 |