# NORTHSIDE HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northside Hospital Pharmacy at Midtown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184394058
- **Authorized official:** AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (404) 851-6968

## Contact information

- **Practice address:** 1110 W PEACHTREE STREET NW, SUITE 340, ATLANTA, GA 30309-3609
- **Practice address phone:** (678) 792-4110
- **Practice address fax:** (404) 343-4635
- **Mailing address:** 1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342
- **Mailing address phone:** (404) 851-8000
- **Mailing address fax:** (770) 393-0835

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2021
- **Last updated:** 06/12/2026