Organization · Type 2 NPI

Avita Drugs, LLC

Community/Retail Pharmacy · Austin, TX

NPI number 1346812286 Active

Practice location

101 W Koenig Ln Ste 400
Austin, TX 78751-1213

Call (512) 394-3101 Map

Fax (833) 777-0237

Mailing address

5700 Granite Pkwy Ste 425
Plano, TX 75024-6648

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

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 …

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NPI record

NPI: 1346812286
Entity type: Organization (Type 2)
Issued: Jul 12, 2021
Last updated: Mar 1, 2022
Status: Active
Subpart: Yes of Avita Drugs, LLC

Other names

<unavail>
Avita Pharmacy 1035 · doing business as
Avita Pharmacy 1035 · doing business as

Authorized official

Chad Brooker
Regulatory Counsel
(469) 592-2010

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346812286

Avita Drugs, LLC's National Provider Identifier is 1346812286, issued on Jul 12, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Austin, TX. The record was last updated on Mar 1, 2022.