Organization
NEW ATLAS PHARMACY LLC
Active
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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