# AVITA DRUGS LLC

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

## Provider details

- **NPI number:** 1629435565
- **Authorized official:** MARSHALL FROST PHARMD (DIRECTOR OF IT & VENDOR MGMT)
- **Authorized official phone:** (803) 254-5884

## Contact information

- **Practice address:** 3308 TULANE AVE, SUITE 102, NEW ORLEANS, LA 70119-7100
- **Practice address phone:** (504) 309-2557
- **Practice address fax:** (504) 827-2437
- **Mailing address:** 5551 CORPORATE BLVD., SUITE 102, BATON ROUGE, LA 70808
- **Mailing address phone:** (225) 236-1540
- **Mailing address fax:** (888) 988-5863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.007212-IR | LA | Yes |

## Other

- **Enumeration date:** 01/22/2016
- **Last updated:** 09/19/2025