Organization
ATLANTIC APOTHECARY, INC
Active
Organization
ATLANTIC APOTHECARY, INC
Active
Other names
ATLANTIC APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MUSTO BS-RPH (OWNER)
(302) 399-6413
Entity
Organization
Contact information
Practice address
103 S DUPONT BLVD STE 2, SMYRNA, DE 19977-1549
(302) 653-9355
(302) 653-9388
Mailing address
103 S DUPONT BLVD, STE. 2, SMYRNA, DE 19977-1549
(302) 653-9355
(302) 653-9388
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
A3-0000999
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200039408
—
DE
01
—
2004066
PK
—
Enumeration date
10/18/2007
Last updated
04/13/2017
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