Organization
AVITA DRUGS ALABAMA LLC
Active
Other names
Avita Pharmacy 1079
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN GURLEY (GENERAL COUNSEL)
(469) 592-2011
Entity
Organization
Contact information
Practice address
2567 FAIRLANE DR STE 100, MONTGOMERY, AL 36116-1643
(334) 513-1162
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
03/29/2023
Last updated
03/31/2026
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