Organization
ATLAS PHARMACY LLC
Active
Other names
Atlas Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIY DAVIDOV (PHARMACIST)
(718) 577-0200
Entity
Organization
Contact information
Practice address
9213 JAMAICA AVE, WOODHAVEN, NY 11421-2108
(718) 577-0200
(718) 577-0202
Mailing address
9213 JAMAICA AVE, WOODHAVEN, NY 11421-2108
(718) 577-0200
(718) 577-0202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032475
NY
3336L0003X
Long Term Care Pharmacy
Primary
032475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03824119
—
NY
01
—
2143703
PK
—
Enumeration date
01/03/2014
Last updated
03/30/2026
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