| NPI | 1790014124 |
|---|---|
| Doing Business As | AVITA DRUGS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCBRIDE Pharmacy Manager 210-231-0383 |
| 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 | 2012-02-29 |