# AVITA DRUGS LLC

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

## Provider details

- **NPI number:** 1841467594
- **Authorized official:** MARSHALL FROST PHARMD (DIRECTOR OF IT & VENDOR MGMT)
- **Authorized official phone:** (803) 254-5884

## Contact information

- **Practice address:** 2519 CANAL ST, NEW ORLEANS, LA 70119-7479
- **Practice address phone:** (504) 822-8013
- **Practice address fax:** (540) 822-8141
- **Mailing address:** 10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
- **Mailing address phone:** (225) 236-1540
- **Mailing address fax:** (225) 663-2158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.006060-IR | LA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 09/19/2025
