Organization
ATLAS MEDICAL INC
Active
Other names
Atlas Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK BOHN (OWNER)
(386) 385-3143
Entity
Organization
Contact information
Practice address
5037 CRILL AVE, PALATKA, FL 32177-6812
(386) 385-3143
(386) 385-3377
Mailing address
5037 CRILL AVE, PALATKA, FL 32177-6812
(386) 385-3143
(386) 385-3377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5708625
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/09/2011
Last updated
02/29/2012
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