Organization
AVITA DRUGS, LLC
Active
Parent organization
AVITA DRUGS, LLC
Other names
Avita Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVITA DRUGS, LLC
Authorized official
ASHLEY ELLIS (CORPORATE COUNSEL)
(704) 641-7967
Entity
Organization
Contact information
Practice address
3100 RED RIVER ST STE 3A, AUSTIN, TX 78705-3214
(512) 213-4027
Mailing address
10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
(225) 236-1541
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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