# GRADY MEMORIAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grady Infectious Disease Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083629638
- **Authorized official:** VALAURA HALLMAN (DIRECTOR OF PHARMACY ADMINISTRATION)
- **Authorized official phone:** (404) 616-3576

## Contact information

- **Practice address:** 341 PONCE DE LEON AVE NE RM 110, ATLANTA, GA 30308-2012
- **Practice address phone:** (404) 616-2466
- **Practice address fax:** (404) 616-9777
- **Mailing address:** PHARMACY ADMINISTRATION-26041, 80 JESSE HILL JR DRIVE, ATLANTA, GA 30303
- **Mailing address phone:** (404) 616-3576
- **Mailing address fax:** (404) 616-6070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 7146 | GA | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 12/21/2016