Organization
GRADY MEMORIAL HOSPITAL CORPORATION
Active
Other names
Hughes Spalding Children's Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VAL HALLMAN (DIRECTOR OF PHARMACY/ADMIN/AO)
(404) 616-3576
Entity
Organization
Contact information
Practice address
35 JESSE HILL JR DR SE, ATLANTA, GA 30303-3032
(404) 785-9634
(404) 785-9664
Mailing address
PHARMACY ADMINISTRATION-26041, 80 JESSE HILL JR DRIVE, ATLANTA, GA 30303
(404) 616-3576
(404) 616-6070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007443
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132553
PK
—
05
—
937307H
—
GA
Enumeration date
04/03/2007
Last updated
05/03/2016
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