Organization · Type 2 NPI

Grady Memorial Hospital Corporation

Pharmacy · Atlanta, GA

NPI number 1316788003 Active

Practice location

2805 Metropolitan Pkwy SW Rm B131
Atlanta, GA 30315-7915

Fax (404) 616-4306

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1316788003
Entity type: Organization (Type 2)
Issued: Jun 5, 2024
Last updated: Jun 5, 2024
Status: Active
Subpart: Yes of Grady Memorial Hospital Corporation

Other names

Fulton County BHCC · doing business as

Authorized official

Dr. Nicholas Michaud, PharmD
Director of Pharmacy
(603) 770-9206

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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 1316788003

Grady Memorial Hospital Corporation's National Provider Identifier is 1316788003, issued on Jun 5, 2024. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 5, 2024.