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ARTEM PHARMACEUTICA LLC NPI 1932477817


NPI Information

NPI: 1932477817
Provider Name: ARTEM PHARMACEUTICA LLC

Doing Business As: ARTEM PHARMACEUTICA

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
595 ROSWELL ST NE STE D
MARIETTA, GA
ZIP 30060
Phone: (770) 944-3626
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ARTEM PHARMACEUTICA LLC is a compounding pharmacy pharmacy in Marietta, GA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. ARTEM PHARMACEUTICA LLC NPI is 1932477817. The provider is registered as an organization entity type.
The provider Is Doing Business As Artem Pharmaceutica.

The provider's business location address is:

595 ROSWELL ST NE STE D
MARIETTA, GA
ZIP 30060-163
Phone: (770) 944-3626
Fax: (770) 944-3627

The provider's authorized official is Martin Wodi .
The authorized official title is Pharmacist and has the following contact phone number (770) 944-3626.

The enumeration date for this NPI number is 12/7/2011 and was last updated on 3/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyPHRE009815GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003122021AMEDICAIDGEORGIA
21162154OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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