340B Partners Pharmacy - Dallas LLC
Pharmacy, Community/Retail Pharmacy in Dallas, Texas
1790014124- 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. The NPI number for 340B Partners Pharmacy - Dallas LLC is 1790014124 and holds license No. 26681 (TX). The current practice location address is 750 Fort Worth Ave Ste H100, Dallas, TX 75208-1811 and the office can be reached by phone at 214-943-5187 and by fax at 972-807-2657. The NPI was assigned on December 14, 2009 and the record was last updated in NPPES on October 7, 2024.
●Provider Profile Details
- NPI Number
- 1790014124
- Provider Name
- 340B Partners Pharmacy - Dallas LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Carl Colquitt · Cfo · 469-592-2005
- Enumeration Date
- December 14, 2009
- Last Update Date
- October 7, 2024
- Certification Date
- October 7, 2024
- NPI Status
- Active
- Other Names
- Avita Drugs (Doing Business As)
◉Business Practice Location Address
- Address
- 750 Fort Worth Ave Ste H100
Dallas, TX 75208-1811 - City
- Dallas
- State
- Texas
- ZIP
- 75208-1811
- Country
- US
- Phone Number
- 214-943-5187
- Fax Number
- 972-807-2657
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | Yes | 26681 | TX |
| Pharmacy, Specialty Pharmacy | 3336S0011X | No | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Dallas →?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) and holds license No. 26681 (TX).
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 at npiregistry.cms.hhs.gov.