Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
AVITA DRUGS, LLC |
Business (DBA) Name |
AVITA PHARMACY 1040 |
License Number |
99-9727 |
Type of Pharmacy |
Non-Resident |
Address |
6100 CORPORATE BLVD SUITE 250 |
City, State, Zip |
BATON ROUGE,
LA 70808-2723 |
Country |
|
Issue Date |
07/22/2024 |
Renewed Date |
07/23/2024 |
Expiration Date |
07/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
LATECIA LEWIS-SMITH - 17944 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|