# AVITA DRUGS ALABAMA LLC

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

## Provider details

- **NPI number:** 1275184517
- **Authorized official:** RYAN BOYLE (LEGAL COUNSEL)
- **Authorized official phone:** (225) 236-1538

## Contact information

- **Practice address:** 3220 5TH AVE S, BIRMINGHAM, AL 35222-2309
- **Practice address phone:** (205) 847-5390
- **Mailing address:** 10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
- **Mailing address phone:** (225) 236-1541

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2019
- **Last updated:** 12/03/2024