Organization
MEDICAL PAVILION PHARMACY, INC.
Active
Other names
Medical Pavilion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE BASRAI (CEO)
(510) 797-2772
Entity
Organization
Contact information
Practice address
9460 N NAME UNO STE 100, GILROY, CA 95020-3536
(408) 842-2001
(408) 842-7141
Mailing address
9460 N NAME UNO STE 100, GILROY, CA 95020-3536
(408) 842-2001
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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