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Organization
ATLANTIC MEDICAL, LLC
Active
Organization
ATLANTIC MEDICAL, LLC
Active
Other names
A1 Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN FERREIRA (MANAGING MEMBER)
(855) 722-8526
Entity
Organization
Contact information
Practice address
915 FERNCLIFF CV STE 1A, SOUTHAVEN, MS 38671-2420
(855) 722-8526
(855) 239-6226
Mailing address
915 FERNCLIFF CV STE 1A, SOUTHAVEN, MS 38671-2420
(855) 722-8526
(855) 239-6226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
F11493
MS
3336C0003X
Community/Retail Pharmacy
Primary
F12216
MS
3336M0002X
Mail Order Pharmacy
F12216
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08527840
—
MS
Enumeration date
10/12/2012
Last updated
09/30/2022
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