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1588291645
AVITA DRUGS OREGON, LLC
PORTLAND, OR
NPI
1588291645
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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
Business Address
AVITA DRUGS OREGON, LLC
2236 SE BELMONT ST STE B
PORTLAND, OR 97214-2817
Phone number: 503-379-0370
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Mailing Address
AVITA DRUGS OREGON, LLC
10604 COURSEY BLVD
BATON ROUGE, LA 70816-4015
Phone number: 704-641-7967
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