Avita Drugs Tennessee, LLC

NPI #1003488495 in Nashville, Tennessee

Provider Information

NPI Number
1003488495
Entity Type
Organization
Organization Name
Avita Drugs Tennessee, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 14, 2021
Last Updated
Jul 14, 2021

Practice Location

Address
1005 DR. B. TODD JR. BLVD
Address 2
SUITE 332
ZIP Code
37208
Phone
(321) 369-9495

Authorized Official

Name
RYAN BOYLE
Title
REGULATORY COUNSEL
Phone
(225) 236-1538

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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