NPI 1801494018 · live from the CMS NPI Registry
340b Partners Pharmacy - Dallas LLC
Pharmacy, Community/Retail Pharmacy in Austin, TX. National Provider Identifier 1801494018, active.
NPI record
| NPI | 1801494018 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 |
| Practice phone | 512-213-4030 |
| Mailing address | 10604 Coursey Blvd, Baton Rouge, LA 70816 |
| Enumerated | October 12, 2020 |
| Last updated | October 12, 2020 |
| Authorized official | Ashley Ellis, Corporate Counsel |
| Other names | Avita Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.