AVITA DRUGS LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

AVITA DRUGS LLC

6226 JEFFERSON HWY
STE G
HARAHAN, LA 70123-5153

Phone: 504-737-4007
Fax: 504-737-4008
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Specialty Pharmacy	3336S0011X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for AVITA DRUGS LLC

NPI # 1710031166

LBN Legal business name AVITA DRUGS LLC

Authorized official STEVE MOUBRY - (VP OF FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/23/2007

Last updated 02/12/2009 - About 17 years ago

Identifiers

LA	License #	6048IR
LA	Medicaid	1271152
MS	Medicaid	04874393
	Other	1931345	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AVITA DRUGS LLC

Contact Information

Specialty

Community/Retail Pharmacy

Long Term Care Pharmacy

Specialty Pharmacy

NPI Profile & details for AVITA DRUGS LLC

Reviews for AVITA DRUGS LLC