Organization
ARTEM PHARMACEUTICA LLC
Active
Other names
Artem Pharmaceutica
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN WODI (PHARMACIST)
(770) 944-3626
Entity
Organization
Contact information
Practice address
595 ROSWELL ST NE STE D, MARIETTA, GA 30060-2163
(770) 944-3626
(770) 944-3627
Mailing address
595 ROSWELL ST NE, SUITE D, MARIETTA, GA 30060-8218
(770) 944-3626
(770) 944-3627
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHRE009815
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003122021A
—
GA
01
—
1162154
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/07/2011
Last updated
03/20/2013
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