| NPI | 1386984771 |
|---|---|
| Doing Business As | AVITA |
| Entity Type | Organization |
| Authorized Contact | CARL CODY COLQUITT Chief Financial Officer 469-850-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AK PHAO1275) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DE A9-0001259) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 22-13036) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DC NRX0000260) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CO OSP.0006224) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: HI PMP854) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY PA1671) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID 22299MS) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT PCN.0002541) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH27097) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 64001499A) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IA 4214) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054.018350) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHNR000016) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 1495) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2024-06-13 |