NPI 1003488495
Avita Drugs Tennessee, LLC
Practice location
- Address
- 1005 Dr. B. Todd Jr. Blvd Suite 332, Nashville, TN 37208
- Phone
- (321) 369-9495
- Mailing address
- 10604 Coursey Blvd, Baton Rouge, LA 70816-4015
Authorised official
- Name
- Ryan Boyle
- Title
- Regulatory Counsel
- Phone
- (225) 236-1538
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003488495
- Entity type
- Organization
- NPI issued
- 14 Jul 2021
- Record last updated
- 14 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.