OrganizationActive
Avita Drugs Tennessee, LLC
NPI 1003488495 · Community/Retail Pharmacy · Nashville, TN
Provider details
- NPI number
- 1003488495
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ryan Boyle, Regulatory Counsel(225) 236-1538
Specialties & taxonomies
Suppliers
Practice location
1005 Dr. B. Todd Jr. Blvd
Suite 332
Nashville, TN 37208
Phone: (321) 369-9495
Approximate (ZIP-level) locationGet directions
Mailing address
10604 Coursey Blvd
Baton Rouge, LA 70816-4015
Other names (DBA / former)
- Doing business as
- Avita Pharmacy 1065
Registry dates
- Enumerated
- 2021-07-14
- Last updated
- 2021-07-14
- Certified
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.