NPI Code Detail JSON Logo

1154598266 NPI number — AVITA DRUGS LLC

NPI Number: 1154598266
Health Care Provider/Practitioner: AVITA DRUGS LLC

Information about “1154598266” NPI (AVITA DRUGS LLC) exists in 1154598266 in HTML format HTML  |  1154598266 in plain Text format TXT  |  1154598266 in PDF (Portable Document Format) PDF  |  1154598266 in an XML format XML  formats.

NPI Number : 1154598266 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154598266",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AVITA DRUGS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10604 COURSEY BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BATON ROUGE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70816-4015",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "225-236-1540",
    "MailingAddressFaxNumber": "225-663-2158",
    "FirstLinePracticeLocationAddress": "6100 CORPORATE BLVD STE 250",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BATON ROUGE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70808-2723",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "225-924-1930",
    "PracticeLocationAddressFaxNumber": "225-924-2620",
    "EnumerationDate": "05/08/2008",
    "LastUpdateDate": "10/17/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GURLEY",
    "AuthorizedOfficialFirstName": "KRISTEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "GENERAL COUNSEL",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "469-592-2011",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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