OrganizationActive
Avatar Services, Inc
NPI 1225039621 · Pharmacy · Grand Prairie, TX
Provider details
- NPI number
- 1225039621
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Authorized official
- Ayesha Siddiqi, Accounts Coordinator
- License
- 23169 (TX)
Practice location
2129 S Great Southwest Pkwy
Suite # 304
Grand Prairie, TX 75051-3537
Phone: (972) 602-0539
Fax: (972) 602-1401
Mailing address
1700 Tech Centre Pkwy
Arlington, TX 76014-4405
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.