# GRADY MEMORIAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grady Correll Retail Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396025367
- **Authorized official:** VALAURA HALLMAN (DIRECTOR PHARMACY ADMINISTRATI)
- **Authorized official phone:** (404) 616-3576

## Contact information

- **Practice address:** 80 GILMER ST ROOM G300, ATLANTA, GA 30303
- **Practice address phone:** (404) 616-3190
- **Practice address fax:** (404) 616-6070
- **Mailing address:** PO BOX 26041, 80 JESSE HILL JR DRIVE, ATLANTA, GA 30303-0001
- **Mailing address phone:** (404) 616-3576
- **Mailing address fax:** (404) 616-6070

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2011
- **Last updated:** 06/21/2023