| NPI | 1275030645 |
|---|---|
| Doing Business As | AVITA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY ELLIS Corporate Counsel/AO 704-641-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 17812) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-06-27 |