# AVITA DRUGS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Avita Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043793029
- **Authorized official:** ASHLEY ELLIS (CORPORATE COUNSEL)
- **Authorized official phone:** (803) 254-5884

## Contact information

- **Practice address:** 1631 ELYSIAN FIELDS AVE, SUITE 200, NEW ORLEANS, LA 70117
- **Practice address phone:** (504) 620-0670
- **Mailing address:** 10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2018
- **Last updated:** 09/14/2018