Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pavilion Pharmacy

Organization Pharmacy · NPI 1699769299

Pavilion Pharmacy is a Pharmacy in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
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Practice location Address checks out

221 W Colorado Blvd Ste 445
Dallas, TX 75208-2363
Phone: (214) 947-2435
Fax: (214) 947-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 13542 (TX)

Record details

NPI number1699769299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Lieb — President · (214) 947-7511
NPI enumeratedSeptember 9, 2005
Last updated in NPPESMarch 7, 2023
Mailing address221 W Colorado Blvd, Suite 445, Dallas, TX 75208-2363

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