Organization
ATLANTIS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA TON (PRESIDENT)
(832) 265-6785
Entity
Organization
Contact information
Practice address
20320 NORTHWEST FWY, SUITE 400, JERSEY VILLAGE, TX 77065-5641
(281) 469-1536
Mailing address
27 WILLOWRON DR, HOUSTON, TX 77024-7618
(832) 265-6785
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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