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
Phone: (214) 780-0898
Fax: (214) 780-0953
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790014124 | NPPES |
Texas | MEDICAID | 146086 | |
Texas | Other | 4554641 |
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