Provider Demographics
NPI:1053696898
Name:ARTYMOWICZ, KATHY (RPH)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:ARTYMOWICZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ISLAND VIEW TER
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:NJ
Mailing Address - Zip Code:08230-1168
Mailing Address - Country:US
Mailing Address - Phone:609-653-3434
Mailing Address - Fax:609-653-3272
Practice Address - Street 1:1 E NEW YORK AVE
Practice Address - Street 2:EMPLOYEE PHARMACY
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2340
Practice Address - Country:US
Practice Address - Phone:609-653-3434
Practice Address - Fax:609-653-3272
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02359900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist