Grady Behavioral Health Center Pharmacy
LBN: Grady Memorial Hospital Corporation
Grady Behavioral Health Center Pharmacy is an health care organization with primary practice located at 10 Park Place , Atlanta GA 30303. 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) 616-0888, or through Hallman, Valaura via phone (404) 616-3576.
Contact Information
Primary practice address
10 Park Place
Atlanta GA 30303
Phone: (404) 616-0888
Fax: (404) 616-0899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009852 | Georgia |
Profile Details
| NPI number | 1316294713 |
|---|---|
| LBN Legal business name | Grady Memorial Hospital Corporation |
| DBA Doing business as | Grady Behavioral Health Center Pharmacy |
| Authorized official | Hallman, Valaura |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 6th, 2012 |
| Last updated | Feb 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316294713 | NPPES |
| Georgia | MEDICAID | 003127124A | |
| Georgia | Other | 2136347 |
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