| NPI | 1801926878 |
|---|---|
| Doing Business As | PAVILION COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRAD CHERSON Owner/Manager 404-350-5780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006901) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-03-20 |