| NPI | 1679363071 |
|---|---|
| Doing Business As | AVITA PHARMACY 1085 |
| Entity Type | Organization |
| Authorized Contact | KRISTEN GURLEY General Counsel 469-592-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |