The Pavilion Corporation
The Pavilion Corporation is a Durable Medical Equipment & Medical Supplies in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
453 E 28th StBaltimore, MD 21218-4426
Phone: (410) 467-4471
Fax: (410) 467-4553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence P02225 (MD) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
| Compounding Pharmacy | Taxonomy 3336C0004X |
Record details
| NPI number | 1194760520 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adesola Otubanjo — Pic · (410) 467-4471 |
| Other names | Waverly Professional Pharmacy |
| NPI enumerated | June 19, 2006 |
| Last updated in NPPES | March 11, 2010 |
| Mailing address | 453 E 28th St, Baltimore, MD 21218-4426 |
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