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Organization
GRADY MEMORIAL HOSPITAL CORPORATION
Active
Organization
GRADY MEMORIAL HOSPITAL CORPORATION
Active
Other names
Grady Behavioral Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VALAURA HALLMAN (DIRECTOR PHARMACY ADMINISTRATI)
(404) 616-3576
Entity
Organization
Contact information
Practice address
10 PARK PLACE, ATLANTA, GA 30303
(404) 616-0888
(404) 616-0899
Mailing address
PO BOX 26041, 80 JESSE HILL JR DRIVE, ATLANTA, GA 30303-0001
(404) 616-3576
(404) 616-6070
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009852
GA
Other
Enumeration date
08/06/2012
Last updated
02/10/2016
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