Avita Drugs Alabama LLC
Pharmacy, Community/Retail Pharmacy in Montgomery, AL. Organization (NPI-2).
NPI number1679277024
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1679277024
- Entity type
- Organization (NPI-2)
- Legal business name
- Avita Drugs Alabama LLC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2023
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Avita Pharmacy 1079 (Doing Business As)
Practice location
2567 Fairlane Dr Ste 100Montgomery, AL 36116-1643
Phone 334-513-1162
Mailing address
5700 Granite Pkwy Ste 425Plano, TX 75024-6648
Phone 469-592-2011
Authorized official
Kristen Gurley
General Counsel
4695922011
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