Organization
AVITA DRUGS, LLC
Active
Parent organization
AVITA DRUGS, LLC
Other names
Avita Pharmacy 1068
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVITA DRUGS, LLC
Authorized official
CHAD BROOKER JD (REGULATORY COUNSEL)
(469) 592-2010
Entity
Organization
Contact information
Practice address
426 BUTTERNUT ST STE A, ABILENE, TX 79602-1327
(325) 480-8989
(833) 866-0493
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
07/12/2021
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