Organization Name: | AVITA DRUGS LLC |
NPI Number: | 1538526470 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN DEPORTER (VP OF PHARMACY OPERATIONS) |
Mailing Address: | 6800 West Loop S Suite 225 Bellaire |
State: | TX US |
Postal Code: | 774014528 |
Phone Number: | 7135920211 |
Fax Number: | 7134320307 |
NPI Enumeration Date: | 01/22/2016 |
NPI Last Update Date: | 01/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |