| NPI | 1154598266 |
|---|---|
| Doing Business As | AVITA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY ELLIS General Counsel 803-254-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2020-02-11 |