| NPI | 1679350847 |
|---|---|
| Doing Business As | T.J. PAVILION SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NEIL THORNBURY CEO 270-651-4159 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-10-10 |