| NPI | 1518961051 |
|---|---|
| Doing Business As | PAVILION HOMECARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WA CF60182938) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2025-05-08 |