Avita Drugs Llc
LBN: Avita Drugs Llc
Avita Drugs Llc is an health care organization with primary practice located at 6226 Jefferson Hwy Ste G, Harahan LA 70123-5153. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Avita Drugs Llc can be contacted via phone (504) 737-4007, or through Moubry, Steve via phone (504) 737-4007.
Contact Information
Primary practice address
6226 Jefferson Hwy Ste G
Harahan LA 70123-5153
Phone: (504) 737-4007
Fax: (504) 737-4008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 6048IR | Louisiana |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1710031166 |
|---|---|
| LBN Legal business name | Avita Drugs Llc |
| DBA Doing business as | Avita Drugs Llc |
| Authorized official | Moubry, Steve |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Feb 12th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710031166 | NPPES |
| Louisiana | MEDICAID | 1271152 | |
| Louisiana | MEDICAID | 04874393 | |
| Louisiana | Other | 1931345 |
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