- Practice location
- 750 Fort Worth Ave Ste H100, Dallas, TX 75208-1811
- Phone
- 214-943-5187
- Fax
- 972-807-2657
- Last updated
- October 7, 2024
340B Partners Pharmacy - Dallas LLC is a healthcare organization based in Dallas, TX. 340B Partners Pharmacy - Dallas LLC practices in Dallas, TX. The NPI Number for 340B Partners Pharmacy - Dallas LLC is 1790014124 and holds a License No. 26681 (TX). The current practice location address for 340B Partners Pharmacy - Dallas LLC is 750 Fort Worth Ave Ste H100, Dallas, TX 75208-1811 and can be reached out via phone at 214-943-5187 and via fax at 972-807-2657.
Provider Profile Details
- NPI Number
- 1790014124
- Provider Name
- 340B Partners Pharmacy - Dallas LLC
- Provider Entity Type
- Organization
- Address
- 750 Fort Worth Ave Ste H100, Dallas, TX 75208-1811
- Phone Number
- 214-943-5187
- Fax Number
- 972-807-2657
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Carl Colquitt · Cfo · 469-592-2005
- Other Names
- Avita Drugs (Doing Business As)
- Provider Enumeration Date
- December 14, 2009
- Last Update Date
- October 7, 2024
- Certification Date
- October 7, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 750 Fort Worth Ave Ste H100
Dallas, TX 75208-1811 - City
- Dallas
- State
- Texas
- Zip
- 75208-1811
- Phone Number
- 214-943-5187
- Fax Number
- 972-807-2657
Provider Business Mailing Address Details
- Address
- 411 Colonial Dr
Baton Rouge, LA 70806-6506 - City
- Baton Rouge
- State
- LA
- Zip
- 70806-6506
- Phone Number
- 214-780-0898
- Fax Number
- 214-780-0953
License Information
- License Number (1)
- 26681
- License State (1)
- TX
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
- Taxonomy (2)
- Pharmacy, Specialty Pharmacy · 3336S0011X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 340B Partners Pharmacy - Dallas LLC?
The NPI number of 340B Partners Pharmacy - Dallas LLC is 1790014124. It was assigned on December 14, 2009 and is currently active in the NPPES registry.
What is the specialty of 340B Partners Pharmacy - Dallas LLC?
340B Partners Pharmacy - Dallas LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in TX under license number 26681.
Where does 340B Partners Pharmacy - Dallas LLC practice?
The practice location is 750 Fort Worth Ave Ste H100, Dallas, TX 75208-1811. The office can be reached at 214-943-5187 (phone) or 972-807-2657 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790014124 directly on the NPPES registry website.