Organization
AVITA DRUGS TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ELLIS (CORPORATE COUNSEL)
(803) 978-9068
Entity
Organization
Contact information
Practice address
225 S 11TH ST STE 102, NASHVILLE, TN 37206-3131
(615) 439-2560
(800) 576-9837
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
12/17/2020
Last updated
11/16/2022
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