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Organization
AVITA DRUGS LLC
Active
Organization
AVITA DRUGS LLC
Active
Other names
Avita Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL FROST PHARMD (DIRECTOR OF IT & VENDOR MGMT)
(803) 254-5884
Entity
Organization
Contact information
Practice address
2519 CANAL ST, NEW ORLEANS, LA 70119-7479
(504) 822-8013
(540) 822-8141
Mailing address
10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
(225) 236-1540
(225) 663-2158
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.006060-IR
LA
3336L0003X
Long Term Care Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117817
PK
—
Enumeration date
05/13/2008
Last updated
09/19/2025
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