Atlas Pharmacy Llc

LBN: Atlas Pharmacy Llc
Atlas Pharmacy Llc is an health care organization with primary practice located at 9213 Jamaica Ave , Woodhaven NY 11421-2108. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Atlas Pharmacy Llc can be contacted via phone (718) 577-0200, or through Davidov, Georgiy via phone (718) 577-0200.

Contact Information

Primary practice address
9213 Jamaica Ave Woodhaven NY 11421-2108
Fax: (718) 577-0202
Website:
Authorized official contact:
Name: Davidov, Georgiy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 032475 New York

Profile Details

NPI number 1770904047
LBN Legal business name Atlas Pharmacy Llc
DBA Doing business as Atlas Pharmacy Llc
Authorized official Davidov, Georgiy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2014
Last updated Mar 10th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770904047 NPPES
New York MEDICAID 03824119
New York Other 2143703

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