Avita Pharmacy 1035

LBN: Avita Drugs, Llc
Avita Pharmacy 1035 is an health care organization with primary practice located at 101 W Koenig Ln Ste 400 , Austin TX 78751-1213. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Avita Drugs, Llc can be contacted via phone (512) 394-3101, or through Brooker, Chad via phone (469) 592-2010.

Contact Information

Primary practice address
101 W Koenig Ln Ste 400 Austin TX 78751-1213
Phone: (512) 394-3101
Fax: (833) 777-0237
Website:
Map and Directions
Authorized official contact:
Name: Brooker, Chad
Phone: (469) 592-2010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1346812286
LBN Legal business name Avita Drugs, Llc
DBA Doing business as Avita Pharmacy 1035
Authorized official Brooker, Chad
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 12th, 2021
Last updated Mar 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers