Provider Demographics
NPI:1861148173
Name:ATLANTIC INITIATIVES LLC
Entity type:Organization
Organization Name:ATLANTIC INITIATIVES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RISHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:910-444-3300
Mailing Address - Street 1:6756 GORDON RD STE 130
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-8440
Mailing Address - Country:US
Mailing Address - Phone:910-444-3300
Mailing Address - Fax:
Practice Address - Street 1:6756 GORDON RD STE 130
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-8440
Practice Address - Country:US
Practice Address - Phone:910-444-3300
Practice Address - Fax:910-685-8137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy