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Organization
AVITA DRUGS LLC
Active
Organization
AVITA DRUGS LLC
Active
Other names
AVITA DRUGS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MOUBRY (VP OF FINANCE)
(504) 737-4007
Entity
Organization
Contact information
Practice address
6226 JEFFERSON HWY, STE G, HARAHAN, LA 70123-5153
(504) 737-4007
(504) 737-4008
Mailing address
6226 JEFFERSON HWY, STE G, HARAHAN, LA 70123-5153
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6048IR
LA
3336L0003X
Long Term Care Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
01/23/2007
Last updated
02/12/2009
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