Organization
AVITA DRUGS LLC
Active
Other names
Avita Drugs 1082
Organization subpart
No
Provider details
NPI number
Authorized official
CARL CODY COLQUITT (CHIEF FINANCIAL OFFICER)
(469) 850-6930
Entity
Organization
Contact information
Practice address
2306 CAMELOT PLAZA CIR STE B, HARLINGEN, TX 78550-8407
(956) 368-7870
Mailing address
10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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