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Organization
AVITA DRUGS OREGON, LLC
Active
Organization
AVITA DRUGS OREGON, LLC
Active
Other names
Avita Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ELLIS (CORPORATE COUNSEL)
(803) 978-9068
Entity
Organization
Contact information
Practice address
2236 SE BELMONT ST STE A, PORTLAND, OR 97214-2817
(503) 379-0370
Mailing address
10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
(704) 641-7967
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
03/26/2020
Last updated
11/24/2025
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