| NPI | 1528841236 |
|---|---|
| Doing Business As | AVITA PHARMACY 1081 |
| Entity Type | Organization |
| Authorized Contact | KRISTEN GURLEY Vice President, Legal Affairs 469-592-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |