# NORTHSIDE HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northside Hospital Home Care Pharmacy - Cherokee
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356841159
- **Authorized official:** AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (404) 851-6968

## Contact information

- **Practice address:** 450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
- **Practice address phone:** (770) 224-1250
- **Practice address fax:** (770) 224-1251
- **Mailing address:** 450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
- **Mailing address phone:** (770) 224-1250
- **Mailing address fax:** (770) 224-1251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010431 | GA | Yes |

## Other

- **Enumeration date:** 02/19/2018
- **Last updated:** 07/02/2026