# AVITA DRUGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AVITA DRUGS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780333229
- **Legal business name:** AVITA DRUGS LLC
- **Authorized official:** CHAD BROOKER (SENIOR REGULATORY COUNSEL)
- **Authorized official phone:** (469) 592-2010

## Contact information

- **Practice address:** 117 CAILLOUETT PL STE A, LAFAYETTE, LA 70501-7807
- **Practice address phone:** (337) 443-7470
- **Mailing address:** 10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2022
- **Last updated:** 03/22/2022