Organization · Type 2 NPI

Grady Memorial Hospital Corporation

Community/Retail Pharmacy · Atlanta, GA

NPI number 1124598362 Active

Practice location

80 Gilmer Street, Room 8570
Atlanta, GA 30303

Call (404) 489-9144 Map

Mailing address

80 Jesse Hill Jr Dr SE, Pharmacy Administration, Box 26041
Atlanta, GA 30303

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Another provider at this address

Frazier Keitt, DOSports Medicine (Internal Medicine) Physician Atlanta, GA NPI 1063830743

Other community/retail pharmacy providers in Atlanta

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NPI record

NPI: 1124598362
Entity type: Organization (Type 2)
Issued: Nov 30, 2018
Last updated: Feb 1, 2023
Status: Active

Other names

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Correll Cancer Center Pharmacy · doing business as
Correll Cancer Center Pharmacy · doing business as

Authorized official

Dr. Mary Katherine Cheeley, PharmD
Executive Director of Amb Pharmacy
(404) 616-5711

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124598362

Grady Memorial Hospital Corporation's National Provider Identifier is 1124598362, issued on Nov 30, 2018. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Atlanta, GA. The record was last updated on Feb 1, 2023.