Organization
AVITA DRUGS LLC
Active
Other names
Avita Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL FROST PHARMD (DIRECTOR OF IT & VENDOR MGMT)
(803) 254-5884
Entity
Organization
Contact information
Practice address
3308 TULANE AVE, SUITE 102, NEW ORLEANS, LA 70119-7100
(504) 309-2557
(504) 827-2437
Mailing address
5551 CORPORATE BLVD., SUITE 102, BATON ROUGE, LA 70808
(225) 236-1540
(888) 988-5863
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007212-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157664
PK
—
Enumeration date
01/22/2016
Last updated
09/19/2025
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