Organization · Type 2 NPI

Northside Hospital, Inc.

Community/Retail Pharmacy · Lawrenceville, GA

NPI number 1619558657 Active

Practice location

631 Professional Dr Ste 450
Lawrenceville, GA 30046-3370

Mailing address

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003XNone 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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About NPI 1619558657

Northside Hospital, Inc.'s National Provider Identifier is 1619558657, issued on Apr 20, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 12, 2026.