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GRADY MEMORIAL HOSPITAL CORPORATION NPI 1083629638


NPI Information

NPI: 1083629638
Provider Name: GRADY MEMORIAL HOSPITAL CORPORATION

Doing Business As: GRADY INFECTIOUS DISEASE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
341 PONCE DE LEON AVE NE RM 110
ATLANTA, GA
ZIP 30308
Phone: (404) 616-2466
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GRADY MEMORIAL HOSPITAL CORPORATION is a community/retail pharmacy pharmacy in Atlanta, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GRADY MEMORIAL HOSPITAL CORPORATION NPI is 1083629638. The provider is registered as an organization entity type.
The provider Is Doing Business As Grady Infectious Disease Pharmacy.

The provider's business location address is:

341 PONCE DE LEON AVE NE RM 110
ATLANTA, GA
ZIP 30308-012
Phone: (404) 616-2466
Fax: (404) 616-9777

The provider's authorized official is Valaura Hallman .
The authorized official title is Director Of Pharmacy Administration and has the following contact phone number (404) 616-3576.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 12/21/2016.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy7146GEORGIAYes

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
1937307EMEDICAIDGEORGIA
22131376OTHERPK

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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