MEDICARE: AVTAR ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1922885763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVTAR ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	6400 MEMORIAL DRIVE STE 100
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-4018
Country	:	US
Telephone Number	:	409-710-0053
Fax Number	:	409-710-0052

Provider Business Practice Location Address
First Line	:	6400 MEMORIAL DRIVE STE 100
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-4018
Country	:	US
Telephone Number	:	409-710-0053
Fax Number	:	409-710-0052

Authorized Official
Title or Position	:	OFFICER
Name	:	RAVNEET SINGH
Credential	:
Telephone Number	:	832-610-7777

Provider Enumeration Date	:	09/14/2023
Last Update Date	:	11/27/2023

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Directions to “AVTAR ENTERPRISES LLC ” Practice Location

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