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AVITA DRUGS LLC NPI 1851462873


NPI Information

NPI: 1851462873
Provider Name: AVITA DRUGS, LLC

Doing Business As: AVITA PHARMACY 1076

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2207 S ZARZAMORA
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 223-3863
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AVITA DRUGS, LLC is a community/retail pharmacy pharmacy in San Antonio, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. AVITA DRUGS, LLC NPI is 1851462873. The provider is registered as an organization entity type.
The provider Is Doing Business As Avita Pharmacy 1076.

The provider's business location address is:

2207 S ZARZAMORA
SAN ANTONIO, TX
ZIP 78207-005
Phone: (210) 223-3863
Fax: (210) 222-0515

The provider's authorized official is Carl Cody Colquitt .
The authorized official title is Chief Financial Officer and has the following contact phone number (469) 592-2011.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 4/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy02258TEXASNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14504608OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2146631MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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