Avita Drugs
LBN: 340B Partners Pharmacy Llc
Avita Drugs is an health care organization with primary practice located at 303 N Frio St Ste 102 , San Antonio TX 78207-3034. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
340B Partners Pharmacy Llc can be contacted via phone (210) 231-0383, or through Frost, Marshall via phone (803) 254-5884.
Contact Information
Primary practice address
303 N Frio St Ste 102
San Antonio TX 78207-3034
Phone: (210) 231-0383
Fax: (210) 231-0462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 26065 | Texas |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1841459328 |
|---|---|
| LBN Legal business name | 340B Partners Pharmacy Llc |
| DBA Doing business as | Avita Drugs |
| Authorized official | Frost, Marshall PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Jan 18th, 2017 - about 7 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 | 1841459328 | NPPES |
| Texas | MEDICAID | 148616 | |
| Texas | Other | 2101428 |
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