Avita Drugs, LLC
NPI #1396585261 in Eagle Pass, Texas
Provider Information
- NPI Number
- 1396585261
- Entity Type
- Organization
- Organization Name
- Avita Drugs, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 29, 2024
- Last Updated
- May 29, 2024
Practice Location
- Address
- 3406 BOB ROGERS DR STE 220
- City
- Eagle Pass
- State
- Texas
- ZIP Code
- 78852-5942
- Phone
- (830) 294-3264
Authorized Official
- Name
- CARL CODY COLQUITT
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (469) 850-6930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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