Organization
SAINT JOSEPHS HOSPITAL OF ATLANTA INC
Active
Other names
ST JOSEPHS APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA URBISTONDO (VP/CFO)
(404) 501-5025
Entity
Organization
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD, SUITE 200, ATLANTA, GA 30342-5000
(678) 843-7400
(678) 843-7464
Mailing address
5671 PEACHTREE DUNWOODY RD, SUITE 200, ATLANTA, GA 30342-5000
(678) 843-7400
(678) 843-7464
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009983
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00146176A1
—
GA
01
—
2014008
PK
—
Enumeration date
03/15/2006
Last updated
05/08/2024
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