Organization
GRADY MEMORIAL HOSPITAL CORPORATION
Active
Other names
Grady Memorial Hosp Corp-Central Refill Phcy, Grady Delivery Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KATHERINE CHEELEY RPH (EXECUTIVE DIRECTOR OF PHARMACY)
(404) 616-5711
Entity
Organization
Contact information
Practice address
5001 N COMMERCE DR STE 200, EAST POINT, GA 30344-6459
(404) 616-0930
(404) 616-6070
Mailing address
PO BOX 26041, 80 JESSE HILL JR DRIVE SE, ATLANTA, GA 30303-0001
(404) 616-3576
(404) 616-6070
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009648
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159652
NCPDP
—
05
—
556337752A
—
GA
Enumeration date
04/05/2010
Last updated
04/16/2026
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