Organization
NORTHSIDE HOSPITAL, INC.
Active
Other names
NORTHSIDE HOSPTIAL PHARMACY AT MEDICAL TOWER
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
(404) 851-6968
Entity
Organization
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD, SUITE 810, ATLANTA, GA 30342-1699
(404) 851-6310
(404) 851-6386
Mailing address
5670 PEACHTREE DUNWOODY RD, SUITE 810, ATLANTA, GA 30342-1699
(404) 851-6310
(404) 851-6386
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016153
PK
—
Enumeration date
11/30/2005
Last updated
07/02/2026
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