Organization
AVITA DRUGS FLORIDA, LLC
Active
Other names
Avita Pharmacy 1047, Avita Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ELLIS (CORPORATE COUNSEL)
(803) 254-5884
Entity
Organization
Contact information
Practice address
1080 KEVSTIN DR STE B, KISSIMMEE, FL 34744-5800
(225) 236-1541
Mailing address
10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
(225) 236-1541
(866) 550-7461
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
12/22/2025
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