Organization · Type 2 NPI

Grady Memorial Hospital Corporation

Community/Retail Pharmacy · Atlanta, GA

NPI number 1396025367 Active

Practice location

80 Gilmer St Room G300
Atlanta, GA 30303

Call (404) 616-3190 Map

Fax (404) 616-6070

Mailing address

PO Box 26041, 80 Jesse Hill Jr Drive
Atlanta, GA 30303-0001

Specialties and licenses

Taxonomy	Code	License
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 …

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NPI record

NPI: 1396025367
Entity type: Organization (Type 2)
Issued: Aug 23, 2011
Last updated: Jun 21, 2023
Status: Active

Other names

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Grady Correll Retail Pharmacy · doing business as
Grady Correll Retail Pharmacy · doing business as

Authorized official

Valaura Hallman
Director Pharmacy Administrati
(404) 616-3576

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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 1396025367

Grady Memorial Hospital Corporation's National Provider Identifier is 1396025367, issued on Aug 23, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Atlanta, GA. The record was last updated on Jun 21, 2023.