Provider Demographics
NPI:1922885763
Name:AVTAR ENTERPRISES LLC
Entity Type:Organization
Organization Name:AVTAR ENTERPRISES LLC
Other - Org Name:GAGAN 2 PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RAVNEET
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-610-7777
Mailing Address - Street 1:6400 MEMORIAL DRIVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-4018
Mailing Address - Country:US
Mailing Address - Phone:409-710-0053
Mailing Address - Fax:409-710-0052
Practice Address - Street 1:6400 MEMORIAL DRIVE STE 100
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-4018
Practice Address - Country:US
Practice Address - Phone:409-710-0053
Practice Address - Fax:409-710-0052
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVTAR ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy