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Avita Drugs LLC — NPI 1780234567, Lake Charles, LA | NPI Central

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OrganizationActive

Avita Drugs LLC

NPI 1780234567 · Pharmacy · Lake Charles, LA

Provider details

NPI number: 1780234567
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Ashley Ellis, Corporate Coubsel(803) 254-5884

Specialties & taxonomies

PharmacyPrimary333600000X
Suppliers

Practice location

1715 Common St Ste a

Lake Charles, LA 70601-6135

Phone: (337) 429-2817

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

10604 Coursey Blvd

Baton Rouge, LA 70816-4015

Other names (DBA / former)

Doing business as: Avita Pharmacy
Doing business as: Avita Pharmacy

Registry dates

Enumerated: 2019-09-13
Last updated: 2020-02-14
Certified: 2020-02-14

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