NPI 1013576826
Avita Drugs Mississippi, LLC
Practice location
- Address
- 805 E River Pl STE a, Jackson, MS 39202-3486
- Phone
- (601) 336-1760
- Mailing address
- 10604 Coursey Blvd, Baton Rouge, LA 70816-4015
Authorised official
- Name
- Ashley Ellis
- Title
- Corporate Counsel
- Phone
- (803) 254-5884
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1013576826
- Entity type
- Organization
- NPI issued
- 6 Jun 2019
- Record last updated
- 6 Jun 2019
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.