Organization
GRADY GENERAL HOSPITAL
Active
Other names
Grady General Hospital - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HEMBREE (SENIOR VP/CFO)
(229) 228-2853
Entity
Organization
Contact information
Practice address
1155 5TH ST SE, CAIRO, GA 39828-3142
(229) 377-1150
Mailing address
1155 5TH ST SE, CAIRO, GA 39828-3142
(229) 377-1150
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE007998
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE007998
LICENSE
GA
Enumeration date
07/20/2007
Last updated
04/25/2019
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