340B Partners Pharmacy - Dallas LLC
Pharmacy, Community/Retail Pharmacy in Dallas, Texas
1962784900- Practice location
- 750 Fort Worth Ave Ste H100, Dallas, TX 75208-1811
- Phone
- 972-805-5960
- Fax
- —
- Last updated
- October 26, 2020
340B Partners Pharmacy - Dallas LLC is a healthcare organization based in Dallas, TX. The NPI number for 340B Partners Pharmacy - Dallas LLC is 1962784900 and holds license No. 27717 (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 972-805-5960. The NPI was assigned on September 15, 2011 and the record was last updated in NPPES on October 26, 2020.
●Provider Profile Details
- NPI Number
- 1962784900
- 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
- Ashley Ellis · Corporate Counsel · 803-254-5884
- Enumeration Date
- September 15, 2011
- Last Update Date
- October 26, 2020
- Certification Date
- October 26, 2020
- 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
- 972-805-5960
✉Business Mailing Address
- Address
- 10604 Coursey Blvd
Baton Rouge, LA 70816 - City
- Baton Rouge
- State
- LA
- ZIP
- 70816
- Phone Number
- 225-924-1930
- Fax Number
- 225-924-3217
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | No | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | Yes | 27717 | TX |
#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 1962784900. It was assigned on September 15, 2011 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. 27717 (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 972-805-5960 (phone).
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 1962784900 directly on the NPPES registry website at npiregistry.cms.hhs.gov.