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PAVILION COMPOUNDING PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Atlanta, Georgia

Provider NPI: 1801926878

Organization Information:
Organization Name:  PAVILION COMPOUNDING PHARMACY LLC


Practice Location:
3193 HOWELL MILL RD NW STE 122A ATLANTA, GA 30327 US
Tel: 404-350-5780  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
GAPHRE006901

Other Provider Identifiers:

IssuerNumberStateType
PK201590601
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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