MEDICARE: AVITA DRUGS TENNESSEE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1457947061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVITA DRUGS TENNESSEE, LLC

Provider Business Mailing Address
First Line	:	10604 COURSEY BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4015
Country	:	US
Telephone Number	:	225-236-1541
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 S 11TH ST STE 102
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3131
Country	:	US
Telephone Number	:	615-439-2560
Fax Number	:	800-576-9837

Authorized Official
Title or Position	:	CORPORATE COUNSEL
Name	:	ASHLEY ELLIS
Credential	:
Telephone Number	:	803-978-9068

Provider Enumeration Date	:	12/17/2020
Last Update Date	:	11/16/2022

Similar Medicare Providers

1952836975 — DR. HAYDEN SHAFER M.D.
Practice Location Address:

225 S 11TH ST STE 101B
NASHVILLE, TN
37206-3131

Practice Phone: 615-234-1007
Practice Fax: 833-471-3993

1407115538 — PETER LARS CATHCART M.D.
Practice Location Address:

225 S 11TH ST STE 101A
NASHVILLE, TN
37206-3131

Practice Phone: 612-616-4664
Practice Fax:

1326582552 — KYLE DEAN MULLINS PA-C
Practice Location Address:

225 S 11TH ST STE 101
NASHVILLE, TN
37206-3131

Practice Phone: 615-469-1065
Practice Fax:

1912676461 — MUSIC CITY PREP CLINIC
Practice Location Address:

225 S 11TH STREET STE 101A
NASHVILLE, TN
37206-3131

Practice Phone: 615-469-1065
Practice Fax:

1669120333 — OLIVIA MARIE CHOLEWA FNP-BC
Practice Location Address:

225 S 11TH ST STE 101A
NASHVILLE, TN
37206-3131

Practice Phone: 248-707-4372
Practice Fax:

1740915719 — MUSIC CITY PHYSICIANS GROUP PLLC
Practice Location Address:

225 S 11TH ST STE 101
NASHVILLE, TN
37206-3131

Practice Phone: 615-469-1065
Practice Fax:

Directions to “AVITA DRUGS TENNESSEE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.