Organization
AVITA DRUGS FLORIDA, LLC
Active
Organization
AVITA DRUGS FLORIDA, LLC
Active
Other names
Avita Pharmacy 1048
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BOYLE (REGULATORY COUNSEL)
(225) 236-1538
Entity
Organization
Contact information
Practice address
8601 COMMODITY CIR STE 105, ORLANDO, FL 32819-9003
(407) 641-5145
Mailing address
10604 COURSEY BLVD, BATON ROUGE, LA 70816-4015
(225) 236-1541
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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