Organization
NEW ATLAS PHARMACY LLC
Active
Other names
New Atlas Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAHANY MOHAMED (PRESIDENT)
(313) 334-5102
Entity
Organization
Contact information
Practice address
2645 W DAVISON, DETROIT, MI 48238-3494
(313) 334-5102
(313) 334-5104
Mailing address
2645 W DAVISON, DETROIT, MI 48238-3494
(313) 334-5102
(313) 334-5104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/10/2022
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