Organization
NORTHSIDE HOSPITAL HOMECARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY GARDNER (DIRECTOR OF PHARMACY)
(404) 851-6793
Entity
Organization
Contact information
Practice address
1000 JOHNSON FERRY RD NE, HOMECARE PHARMACY, ATLANTA, GA 30342-1606
(404) 851-8897
(404) 303-3323
Mailing address
1000 JOHNSON FERRY RD NE, HOMECARE PHARMACY, ATLANTA, GA 30342-1606
(404) 851-8897
(404) 303-3323
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
006234
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001405D
—
GA
Enumeration date
07/18/2005
Last updated
02/13/2015
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