Provider Demographics
NPI:1740087329
Name:AVAIL KILTER CORPORATION
Entity type:Organization
Organization Name:AVAIL KILTER CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SDM
Authorized Official - Prefix:
Authorized Official - First Name:LORD
Authorized Official - Middle Name:
Authorized Official - Last Name:BAAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-236-4128
Mailing Address - Street 1:400 N SAINT PAUL ST STE 710
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-6843
Mailing Address - Country:US
Mailing Address - Phone:214-236-4128
Mailing Address - Fax:
Practice Address - Street 1:408 N ALLEN DR STE 100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2500
Practice Address - Country:US
Practice Address - Phone:214-236-4128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333600000XSuppliersPharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile PreparationsGroup - Multi-Specialty
No1835G0303XPharmacy Service ProvidersPharmacistGeriatricGroup - Multi-Specialty
No1835I0206XPharmacy Service ProvidersPharmacistInfectious DiseasesGroup - Multi-Specialty
No1835N1003XPharmacy Service ProvidersPharmacistNutrition SupportGroup - Multi-Specialty
No1835P0200XPharmacy Service ProvidersPharmacistPediatricsGroup - Multi-Specialty
No1835S0206XPharmacy Service ProvidersPharmacistSolid Organ TransplantGroup - Multi-Specialty
No1835X0200XPharmacy Service ProvidersPharmacistOncologyGroup - Multi-Specialty
No183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Multi-Specialty
No208U00000XAllopathic & Osteopathic PhysiciansClinical PharmacologyGroup - Multi-Specialty
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy