# GRADY MEMORIAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Correll Cancer Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124598362
- **Authorized official:** DR. MARY KATHERINE CHEELEY PHARMD (EXECUTIVE DIRECTOR OF AMB PHARMACY)
- **Authorized official phone:** (404) 616-5711

## Contact information

- **Practice address:** 80 GILMER STREET, ROOM 8570, ATLANTA, GA 30303
- **Practice address phone:** (404) 489-9144
- **Mailing address:** 80 JESSE HILL JR DR SE, PHARMACY ADMINISTRATION, BOX 26041, ATLANTA, GA 30303
- **Mailing address phone:** (404) 616-3415
- **Mailing address fax:** (404) 616-6070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 02/01/2023