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Contact Information

AVITA DRUGS, LLC
6406 MCPHERSON RD STE 6
LAREDO, TX78041-6258
 Phone: 866-270-3226
 Fax: 888-959-5908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AVITA DRUGS, LLC

NPI # 1851462873
LBN Legal business name AVITA DRUGS, LLC
Authorized official CARL COLQUITT - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2006
Last updated 12/16/2024 - More than a year ago
Identifiers
TX License # 02258
TX Medicaid 146631
Other 4504608 OTHER ID NUMBER-COMMERCIAL 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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