NPI | 1447944590 |
---|---|
Doing Business As | AVITA PHARMACY |
Entity Type | Organization |
Authorized Contact | ASHLEY ELLIS Corporate Counsel 704-641-7967 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-06-02 |
Last Update Date | 2023-06-02 |