Provider Demographics
NPI:1023785896
Name:ATLANTIC RX LLC
Entity type:Organization
Organization Name:ATLANTIC RX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADITYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-323-1865
Mailing Address - Street 1:1319 MILITARY CUTOFF RD STE HH
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-3640
Mailing Address - Country:US
Mailing Address - Phone:910-756-3900
Mailing Address - Fax:
Practice Address - Street 1:1319 MILITARY CUTOFF RD STE HH
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3640
Practice Address - Country:US
Practice Address - Phone:704-323-1865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy