Grady Infectious Disease Pharmacy

LBN: Grady Memorial Hospital Corporation
Grady Infectious Disease Pharmacy is an health care organization with primary practice located at 341 Ponce De Leon Ave Ne Rm 110 , Atlanta GA 30308-2012. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Grady Memorial Hospital Corporation can be contacted via phone (404) 616-2466, or through Hallman, Valaura via phone (404) 616-3576.

Contact Information

Primary practice address
341 Ponce De Leon Ave Ne Rm 110 Atlanta GA 30308-2012
Phone: (404) 616-2466
Fax: (404) 616-9777
Website:
Map and Directions
Authorized official contact:
Name: Hallman, Valaura
Phone: (404) 616-3576

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7146 Georgia

Profile Details

NPI number 1083629638
LBN Legal business name Grady Memorial Hospital Corporation
DBA Doing business as Grady Infectious Disease Pharmacy
Authorized official Hallman, Valaura
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 21st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083629638 NPPES
Georgia MEDICAID 937307E
Georgia Other 2131376

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