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Organization
NORTHSIDE HOSPITAL, INC.
Active
Organization
NORTHSIDE HOSPITAL, INC.
Active
Other names
The Pharmacy Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
(404) 851-6968
Entity
Organization
Contact information
Practice address
1100 JOHNSON FERRY RD, STE 107, ATLANTA, GA 30342-1709
(404) 845-3201
(404) 843-1503
Mailing address
PHARMACY LOCK BOX, PO BOX 935685, ATLANTA, GA 31193-0001
(404) 845-3201
(404) 843-1503
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE08709
GA
Other
Enumeration date
03/21/2006
Last updated
07/02/2026
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