| NPI | 1710031166 |
|---|---|
| Doing Business As | AVITA DRUGS LLC |
| Entity Type | Organization |
| Authorized Contact | STEVE MOUBRY VP Of Finance 504-737-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 6048IR) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-02-12 |