MEDICARE: AVAIL KILTER CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	183500000X	Pharmacist
2	1835C0207X	Compounded Sterile Preparations Pharmacist
3	1835G0303X	Geriatric Pharmacist
4	1835I0206X	Infectious Diseases Pharmacist
5	1835N1003X	Nutrition Support Pharmacist
6	1835P0200X	Pediatric Pharmacist
7	1835S0206X	Solid Organ Transplant Pharmacist
8	1835X0200X	Oncology Pharmacist
9	183700000X	Pharmacy Technician
10	208U00000X	Clinical Pharmacology Physician
11	3336C0003X	Community/Retail Pharmacy
12	3336C0004X	Compounding Pharmacy
13	3336H0001X	Home Infusion Therapy Pharmacy
14	3336S0011X	Specialty Pharmacy
15	333600000X	Pharmacy

General Provider Information

NPI Number	:	1740087329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVAIL KILTER CORPORATION

Provider Business Mailing Address
First Line	:	400 N SAINT PAUL ST STE 710
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-6843
Country	:	US
Telephone Number	:	214-236-4128
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 N ALLEN DR STE 100
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-2500
Country	:	US
Telephone Number	:	214-236-4128
Fax Number	:

Authorized Official
Title or Position	:	SDM
Name	:	LORD BAAH
Credential	:
Telephone Number	:	214-236-4128

Provider Enumeration Date	:	02/28/2025
Last Update Date	:	02/28/2025

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