Organization
AVITA DRUGS ALABAMA LLC
Active
Other names
Avita Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BOYLE (LEGAL COUNSEL)
(225) 236-1538
Entity
Organization
Contact information
Practice address
3220 5TH AVE S, BIRMINGHAM, AL 35222-2309
(205) 847-5390
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
—
—
Other
Enumeration date
09/27/2019
Last updated
12/03/2024
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