Organization
ATLAS MEDS PHARMACY INC
Active
Other names
Atlas Meds Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DALIA ELGOHARY RPH (PRESIDENT)
(517) 580-0991
Entity
Organization
Contact information
Practice address
4801 S MARTIN LUTHER KING JR BLVD, LANSING, MI 48910-5111
(517) 580-0991
(517) 580-0992
Mailing address
4801 S MARTIN LUTHER KING JR BLVD, LANSING, MI 48910-5111
(517) 580-0991
(517) 580-0992
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010592
MI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147647
PK
—
Enumeration date
08/12/2014
Last updated
02/06/2023
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