Healthcare Provider Details

I. General information

NPI: 1164522967
Provider Name (Legal Business Name): ATLANTIC PHARMACEUTICS SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149B CALLE MUOZ RIVERA
GUAYANILLA PR
00656
US

IV. Provider business mailing address

PO BOX 560398
GUAYANILLA PR
00656-0398
US

V. Phone/Fax

Practice location:
  • Phone: 787-835-2840
  • Fax: 787-835-3268
Mailing address:
  • Phone: 787-835-2840
  • Fax: 787-835-3268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number08-F-2416
License Number StatePR

VIII. Authorized Official

Name: MRS. JESSICA RAMOS
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-835-2840