Organization
AVA HEALTHCARE LLC
Active
Other names
CareFirst Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL STANLEY (VP OF OPERATIONS)
(469) 247-3881
Entity
Organization
Contact information
Practice address
1600 W LOUISIANA ST STE 700, MCKINNEY, TX 75069-7881
(214) 842-8445
(214) 842-8223
Mailing address
1600 W LOUISIANA ST STE 700, MCKINNEY, TX 75069-7881
(214) 842-8445
(214) 842-8223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150379
—
TX
01
—
2193207
PK
—
Enumeration date
10/14/2020
Last updated
07/08/2022
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