Avita Drugs Mississippi, LLC
NPI #1013576826 in Jackson, Mississippi
Provider Information
- NPI Number
- 1013576826
- Entity Type
- Organization
- Organization Name
- Avita Drugs Mississippi, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 6, 2019
- Last Updated
- Jun 6, 2019
Practice Location
- Address
- 805 E RIVER PL STE A
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-3486
- Phone
- (601) 336-1760
Authorized Official
- Name
- ASHLEY ELLIS
- Title
- CORPORATE COUNSEL
- Phone
- (803) 254-5884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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