# GRADY MEMORIAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grady Camp Creek Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447020268
- **Authorized official:** MARY KATHERINE CHEELEY (EXEC DIRECTOR AMBULATORY PHARMACY)
- **Authorized official phone:** (404) 616-5711

## Contact information

- **Practice address:** 3896 PRINCETON LAKES WAY SW RM 126, ATLANTA, GA 30331-5510
- **Practice address phone:** (404) 616-8630
- **Practice address fax:** (404) 616-6070
- **Mailing address:** 80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
- **Mailing address phone:** (404) 616-1000

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2024
- **Last updated:** 01/03/2024
