Organization
AVITA DRUGS TENNESSEE, LLC
Active
Organization
AVITA DRUGS TENNESSEE, LLC
Active
Other names
Avita Pharmacy 1070, Avita Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN GURLEY (GENERAL COUNSEL)
(469) 592-2011
Entity
Organization
Contact information
Practice address
501 28TH AVE N STE A, NASHVILLE, TN 37209-4001
(225) 236-0204
Mailing address
5700 GRANITE PKWY STE 425, PLANO, TX 75024-6648
(469) 592-2011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
03/06/2025
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