Provider Demographics
NPI:1124733449
Name:ATLANTIC PHARMA CORP.
Entity type:Organization
Organization Name:ATLANTIC PHARMA CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHMOUD
Authorized Official - Middle Name:AMIN
Authorized Official - Last Name:HASSAN-DOLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-599-1008
Mailing Address - Street 1:180 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4722
Mailing Address - Country:US
Mailing Address - Phone:347-599-1008
Mailing Address - Fax:347-599-1175
Practice Address - Street 1:180 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5604
Practice Address - Country:US
Practice Address - Phone:347-599-1008
Practice Address - Fax:347-599-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy