Organization
AVITA DRUGS FLORIDA, LLC
Active
Other names
Avita Pharmacy 1080
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BOYLE (AVP, LEGAL COUNSEL)
(225) 236-1538
Entity
Organization
Contact information
Practice address
3487 BROADWAY STE 110, FORT MYERS, FL 33901-7213
(239) 610-0620
Mailing address
5700 GRANITE PKWY STE 425, PLANO, TX 75024-6648
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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