NORTHSIDE HOSPITAL INC. NPI 1437134970

NPI Information

NORTHSIDE HOSPITAL, INC. is a long term care pharmacy pharmacy in Lawrenceville, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. NORTHSIDE HOSPITAL, INC. NPI is 1437134970. The provider is registered as an organization entity type.
The provider Is Doing Business As Northside Gwinnett Extended Care Center Pharmacy.

The provider's business location address is:

650 PROFESSIONAL DR
LAWRENCEVILLE, GA
ZIP 30046-707
Phone: (678) 442-3642
Fax: (770) 442-3066

The provider's authorized official is Judy Gardner .
The authorized official title is Director, Pharmaceutical Services and has the following contact phone number (404) 851-6793.

The enumeration date for this NPI number is 12/7/2005 and was last updated on 11/10/2020.

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:

Other Identifiers

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