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Organization

NORTHSIDE HOSPITAL PHARMACY AT MERIDIAN MARK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
(404) 851-6968
Entity
Organization

Contact information

Practice address
5445 MERIDIAN MARKS RD NE, STE 190, ATLANTA, GA 30342-4763
(404) 459-1740
(404) 459-1745
Mailing address
5445 MERIDIAN MARKS RD NE, STE 190, ATLANTA, GA 30342-4763
(404) 459-1740
(404) 459-1745

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE008289
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00821796A
GA
Enumeration date
09/20/2005
Last updated
07/02/2026
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