NPI | 1790014124 |
---|---|
Doing Business As | AVITA DRUGS |
Entity Type | Organization |
Authorized Contact | CARL COLQUITT CFO 469-592-2005 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26681) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2009-12-14 |
Last Update Date | 2024-10-07 |