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Pavilion Foundation Pharmacy
Psychiatric Hospital in Champaign, Illinois
NPI 1780055608

Pavilion Foundation Pharmacy is a Psychiatric Hospital based in Champaign, IL. Pavilion Foundation Pharmacy practices in Champaign, IL. The NPI Number for Pavilion Foundation Pharmacy is 1780055608 and holds a License No. 054016976 (Illinois).

The current practice location address for Pavilion Foundation Pharmacy is 809 W Church St, Champaign, IL and can be reached out via phone at 217-373-1860 and via fax at 217-373-1877.

Location: 809 W Church St, Champaign, IL, 61820-3320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780055608
Provider Name
Pavilion Foundation Pharmacy
Credential
Provider Entity Type
Organization
Address
809 W Church St, Champaign, IL, 61820-3320
Phone Number
217-373-1860
Fax Number
217-373-1877
Provider Enumeration Date
10/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
809 W Church St
City
Champaign
State
Illinois
Zip
61820-3320
Phone Number
217-373-1860
Fax Number
217-373-1877
person
Provider Business Mailing Address Details
Address
809 W Church St
City
Champaign
State
Illinois
Zip
61820-3320
Phone Number
217-373-1860
Fax Number
217-373-1877
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
054016976 (Illinois)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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institution
Pavilion Foundation
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809 W Church St,
CHAMPAIGN, IL
61820-3320
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