Organization
ATLAS MEDS PHARMACY INC
Active
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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