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Organization
AVITA DRUGS ALABAMA LLC
Active
Organization
AVITA DRUGS ALABAMA LLC
Active
Other names
Avita Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BOYLE (LEGAL COUNSEL)
(225) 236-1538
Entity
Organization
Contact information
Practice address
3220 5TH AVE S, BIRMINGHAM, AL 35222-2309
(205) 847-5390
Mailing address
10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
(225) 236-1541
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/27/2019
Last updated
12/03/2024
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