Avita Pharmacy 1066

LBN: Avita Drugs Florida, Llc
Avita Pharmacy 1066 is an health care organization with primary practice located at 1409 Ne 26Th St , Wilton Manors FL 33305-1321. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Avita Drugs Florida, Llc can be contacted via phone (954) 302-8170, or through Boyle, Ryan via phone (225) 236-1538.

Contact Information

Primary practice address
1409 Ne 26Th St Wilton Manors FL 33305-1321
Phone: (954) 302-8170
Fax: (833) 884-0064
Website:
Map and Directions
Authorized official contact:
Name: Boyle, Ryan
Phone: (225) 236-1538

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1740859024
LBN Legal business name Avita Drugs Florida, Llc
DBA Doing business as Avita Pharmacy 1066
Authorized official Boyle, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2021
Last updated Mar 8th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740859024 NPPES
Florida Other PH33465 BOARD OF PHARMACY

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