OrganizationActive
Avita Drugs LLC
NPI 1306522891 · Community/Retail Pharmacy · Washington, DC
Provider details
- NPI number
- 1306522891
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Carl Colquitt, Cfo(469) 850-6930
Specialties & taxonomies
Suppliers
Practice location
600 Pennsylvania Ave Se
Washington, DC 20003-4316
Phone: (202) 978-1565
Approximate (ZIP-level) locationGet directions
Mailing address
5700 Granite Pkwy Ste 425
Plano, TX 75024-6648
Other names (DBA / former)
- Doing business as
- Avita Drugs LLC D/B/A Avita Pharmacy 1071
Registry dates
- Enumerated
- 2023-06-27
- Last updated
- 2023-06-27
- Certified
- 2023-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.