OrganizationActive
Avita Drugs LLC
NPI 1780333229 · Community/Retail Pharmacy · Lafayette, LA
Provider details
- NPI number
- 1780333229
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Avita Drugs LLC
- Organization subpart
- Yes
- Authorized official
- Chad Brooker, Senior Regulatory Counsel(469) 592-2010
Specialties & taxonomies
Suppliers
Practice location
117 Caillouett Pl Ste a
Lafayette, LA 70501-7807
Phone: (337) 443-7470
Approximate (ZIP-level) locationGet directions
Mailing address
10604 Coursey Blvd
Baton Rouge, LA 70816-4015
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.