Grady Memorial Hosp Corp-Central Refill Phcy

LBN: Grady Memorial Hospital Corporation
Grady Memorial Hosp Corp-Central Refill Phcy is an health care organization with primary practice located at 1575 Northside Dr Nw Bldg 400 Atlanta Tech Center Suite 450, Atlanta GA 30318-4235. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Grady Memorial Hospital Corporation can be contacted via phone (404) 616-0930, or through Hallman, Valaura D. via phone (404) 616-3576.

Contact Information

Primary practice address
1575 Northside Dr Nw Bldg 400 Atlanta Tech Center Suite 450 Atlanta GA 30318-4235
Phone: (404) 616-0930
Fax: (404) 616-6070
Website:
Map and Directions
Authorized official contact:
Name: Hallman, Valaura D. RPH
Phone: (404) 616-3576

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009648 Georgia

Profile Details

NPI number 1427373224
LBN Legal business name Grady Memorial Hospital Corporation
DBA Doing business as Grady Memorial Hosp Corp-Central Refill Phcy
Authorized official Hallman, Valaura D. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2010
Last updated Jun 14th, 2010 - about 16 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 1427373224 NPPES
Georgia MEDICAID 556337752A
Georgia Other 1159652

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