| NPI | 1124625868 |
|---|---|
| Doing Business As | AVITA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY ELLIS Corporate Counsel 704-641-7967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |