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

Professional Pavilion Pharmacy Inc

Organization Pharmacy · NPI 1235294661

Professional Pavilion Pharmacy Inc is a Pharmacy in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

315 N San Saba Ste 110
San Antonio, TX 78207-3154
Phone: (210) 212-7455
Fax: (210) 212-6643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 17417 (TX)
Pharmacy Taxonomy 333600000X

Record details

NPI number1235294661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Martin — Owner · (210) 271-7575
Other names Professional Pavilion Pharmacy
NPI enumeratedDecember 26, 2006
Last updated in NPPESOctober 19, 2012
Mailing address315 N San Saba, Ste 110, San Antonio, TX 78207-3154

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