Avita Drugs

LBN: 340B Partners Pharmacy - Dallas Llc
Avita Drugs is an health care organization with primary practice located at 2924 Oak Lawn Ave , Dallas TX 75219-4131. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 340B Partners Pharmacy - Dallas Llc can be contacted via phone (214) 780-0898, or through Mcbride, Michael via phone (210) 231-0383.

Contact Information

Primary practice address
2924 Oak Lawn Ave Dallas TX 75219-4131
Fax: (214) 780-0953
Website:
Authorized official contact:
Name: Mcbride, Michael RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 26681 Texas
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1790014124
LBN Legal business name 340B Partners Pharmacy - Dallas Llc
DBA Doing business as Avita Drugs
Authorized official Mcbride, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2009
Last updated Feb 29th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790014124 NPPES
Texas MEDICAID 146086
Texas Other 4554641

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