# AVITA DRUGS ALABAMA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124854674
- **Authorized official:** CARL CODY COLQUITT (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (469) 850-6930

## Contact information

- **Practice address:** 1891 HONEYSUCKLE RD STE 3, DOTHAN, AL 36305-4291
- **Practice address phone:** (334) 679-7940
- **Mailing address:** 5700 GRANITE PKWY STE 425, PLANO, TX 75024-6648

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2024
- **Last updated:** 09/11/2024