| NPI | 1619332145 |
|---|---|
| Doing Business As | AVITA HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARSHALL FROST Director Of It & Vendor Mgmt 803-254-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA PHY006081IR) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2016-08-02 |