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Avita Drugs Mississippi, LLC — NPI 1013576826, Jackson, MS | NPI Central

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NPI 1013576826

OrganizationActive

Avita Drugs Mississippi, LLC

NPI 1013576826 · Community/Retail Pharmacy · Jackson, MS

Provider details

NPI number: 1013576826
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Ashley Ellis, Corporate Counsel(803) 254-5884

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers

Practice location

805 E River Pl Ste a

Jackson, MS 39202-3486

Phone: (601) 336-1760

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

10604 Coursey Blvd

Baton Rouge, LA 70816-4015

Other names (DBA / former)

Doing business as: Avita Pharmacy

Registry dates

Enumerated: 2019-06-06
Last updated: 2019-06-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.