Organization
MARIETTA NORTHSIDE HOSPITAL SERVICES CORP
Active
Other names
MARIETTA SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HAMZA TANVEER MANAGER (MANAGER)
(404) 721-2432
Entity
Organization
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 120, MARIETTA, GA 30068-4378
(404) 721-2432
(717) 307-3540
Mailing address
4800 OLDE TOWNE PKWY STE 120, MARIETTA, GA 30068-4378
(404) 721-2432
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
07/27/2022
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