Organization
AVITA DRUGS, LLC
Active
Parent organization
AVITA DRUGS, LLC
Other names
Avita Pharmacy 1035
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVITA DRUGS, LLC
Authorized official
CHAD BROOKER (REGULATORY COUNSEL)
(469) 592-2010
Entity
Organization
Contact information
Practice address
101 W KOENIG LN STE 400, AUSTIN, TX 78751-1213
(512) 394-3101
(833) 777-0237
Mailing address
5700 GRANITE PKWY STE 425, PLANO, TX 75024-6648
(469) 592-2010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
07/12/2021
Last updated
03/01/2022
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