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340B PARTNERS PHARMACY - DALLAS LLC NPI 1962784900


NPI Information

NPI: 1962784900
Provider Name: 340B PARTNERS PHARMACY - DALLAS LLC

Doing Business As: AVITA DRUGS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
750 FORT WORTH AVE STE H100
DALLAS, TX
ZIP 75208
Phone: (972) 805-5960
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340B PARTNERS PHARMACY - DALLAS LLC is a community/retail pharmacy pharmacy in Dallas, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. 340B PARTNERS PHARMACY - DALLAS LLC NPI is 1962784900. The provider is registered as an organization entity type.
The provider Is Doing Business As Avita Drugs.

The provider's business location address is:

750 FORT WORTH AVE STE H100
DALLAS, TX
ZIP 75208-811
Phone: (972) 805-5960

The provider's authorized official is Ashley Ellis .
The authorized official title is Corporate Counsel and has the following contact phone number (803) 254-5884.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 10/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy27717TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1148897MEDICAIDTEXAS
22131953OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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