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1760250567
AVITA DRUGS OREGON, LLC
PORTLAND, OR
NPI
1760250567
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Entity Type
Organization
Authorized Contact
ASHLEY ELLIS
Corporate Counsel
704-641-7967
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy Community/Retail Pharmacy
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
AVITA DRUGS OREGON, LLC
15 N MORRIS ST STE A
PORTLAND, OR 97227-1541
Phone number: 469-592-2011
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Mailing Address
AVITA DRUGS OREGON, LLC
10604 COURSEY BLVD
BATON ROUGE, LA 70816-4015
Phone number:
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