Healthcare Provider Details

I. General information

NPI: 1235040395
Provider Name (Legal Business Name): ATC RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2749 CONEY ISLAND AVE
BROOKLYN NY
11235-5004
US

IV. Provider business mailing address

2749 CONEY ISLAND AVE
BROOKLYN NY
11235-5004
US

V. Phone/Fax

Practice location:
  • Phone: 347-374-3316
  • Fax: 347-374-3317
Mailing address:
  • Phone: 347-374-3316
  • Fax: 347-374-3317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALBERT AULOV
Title or Position: OWNER
Credential:
Phone: 347-374-3316