Asa Yancey Health Center Pharmacy

LBN: Grady Memorial Hospital Corporation
Asa Yancey Health Center Pharmacy is an health care organization with primary practice located at 1247 Donald Lee Hollowell Pkwy Nw , Atlanta GA 30318-6657. 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) 616-9951, or through Hallman, Valaura via phone (404) 616-3576.

Contact Information

Primary practice address
1247 Donald Lee Hollowell Pkwy Nw Atlanta GA 30318-6657
Phone: (404) 616-9951
Fax: (404) 616-1184
Website:
Map and Directions
Authorized official contact:
Name: Hallman, Valaura RPH
Phone: (404) 616-3576

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 004189 Georgia

Profile Details

NPI number 1619982261
LBN Legal business name Grady Memorial Hospital Corporation
DBA Doing business as Asa Yancey Health Center Pharmacy
Authorized official Hallman, Valaura RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619982261 NPPES
Georgia MEDICAID 937307F
Georgia Other 2131380

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