Avita Drugs, LLC

NPI #1104326172 in Mcallen, Texas

Provider Information

NPI Number
1104326172
Entity Type
Organization
Organization Name
Avita Drugs, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
AVITA DRUGS LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 16, 2018
Last Updated
Jul 6, 2022

Practice Location

Address
300 S 2ND ST STE 102
State
Texas
ZIP Code
78501-2702
Phone
(512) 729-0020

Authorized Official

Name
CARL CODY COLQUITT
Title
CHIEF FINANCIAL OFFICER
Phone
(469) 850-6930

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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