# ATLAS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlas Pharmacy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770904047
- **Authorized official:** GEORGIY DAVIDOV (PHARMACIST)
- **Authorized official phone:** (718) 577-0200

## Contact information

- **Practice address:** 9213 JAMAICA AVE, WOODHAVEN, NY 11421-2108
- **Practice address phone:** (718) 577-0200
- **Practice address fax:** (718) 577-0202
- **Mailing address:** 9213 JAMAICA AVE, WOODHAVEN, NY 11421-2108
- **Mailing address phone:** (718) 577-0200
- **Mailing address fax:** (718) 577-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | 032475 | NY | Yes |
| 3336L0003X | Long Term Care Pharmacy | 032475 | NY | Yes |

## Other

- **Enumeration date:** 01/03/2014
- **Last updated:** 03/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03824119 | — | NY |
| 01 | — | 2143703 | PK | — |