Organization
AVITA DRUGS LLC
Active
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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