| NPI | 1588291645 |
|---|---|
| Doing Business As | AVITA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY ELLIS Corporate Counsel 803-978-9068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |