# GRADY MEMORIAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grady Lee and White Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205872223
- **Authorized official:** NICK MICHAUD RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (404) 616-5500

## Contact information

- **Practice address:** 1000 WHITE ST SW, STE 1004, ROOM 400, ATLANTA, GA 30310
- **Practice address phone:** (404) 616-8618
- **Practice address fax:** (404) 616-6070
- **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 | PHRE000512 | GA | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 09/03/2024