# AVITA DRUGS LLC

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

## Provider details

- **NPI number:** 1154598266
- **Authorized official:** KRISTEN GURLEY (GENERAL COUNSEL)
- **Authorized official phone:** (469) 592-2011

## Contact information

- **Practice address:** 6100 CORPORATE BLVD STE 250, BATON ROUGE, LA 70808-2723
- **Practice address phone:** (225) 924-1930
- **Practice address fax:** (225) 924-2620
- **Mailing address:** 10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
- **Mailing address phone:** (225) 236-1540
- **Mailing address fax:** (225) 663-2158

## Taxonomy

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

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 10/17/2024