Organization
ART OF MEDICINE
Active
Other names
The Art of Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JACK KORBUTOV (OWNER)
(215) 238-9055
Entity
Organization
Contact information
Practice address
507 S 2ND ST, 1ST FLOOR, PHILADELPHIA, PA 19147-2408
(215) 238-9055
Mailing address
507 S 2ND ST, 1ST FLOOR, PHILADELPHIA, PA 19147-2408
(215) 238-9055
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PP482313
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3998462
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/21/2012
Last updated
11/28/2012
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