Grady Pratt Street Pharmacy

LBN: Grady Memorial Hospital Corporation
Grady Pratt Street Pharmacy is an health care organization with primary practice located at 80 Jesse Hill Jr Dr Se Rm Gd032, Atlanta GA 30303-3031. 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) 616-5080, or through Cheeley, Mary Katherine via phone (404) 616-5711.

Contact Information

Primary practice address
80 Jesse Hill Jr Dr Se Rm Gd032 Atlanta GA 30303-3031
Phone: (404) 616-5080
Fax: (404) 616-4111
Website:
Map and Directions
Authorized official contact:
Name: Cheeley, Mary Katherine PHARMD
Phone: (404) 616-5711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008430 Georgia

Profile Details

NPI number 1972826766
LBN Legal business name Grady Memorial Hospital Corporation
DBA Doing business as Grady Pratt Street Pharmacy
Authorized official Cheeley, Mary Katherine PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2010
Last updated Apr 23rd, 2023 - about 3 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 1972826766 NPPES
Georgia Other 1159676 NCPDP
Georgia MEDICAID 517281744A NCPDP

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