East Point Grady Health Center Pharmacy
LBN: Grady Memorial Hospital Corporation
East Point Grady Health Center Pharmacy is an health care organization with primary practice located at 1595 Cleveland Ave , East Point GA 30344-3200. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Grady Memorial Hospital Corporation can be contacted via phone (404) 616-9231, or through Hallman, Val via phone (404) 616-3576.
Contact Information
Primary practice address
1595 Cleveland Ave
East Point GA 30344-3200
Phone: (404) 616-9231
Fax: (404) 768-6455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 004658 | Georgia |
Profile Details
| NPI number | 1174538722 |
|---|---|
| LBN Legal business name | Grady Memorial Hospital Corporation |
| DBA Doing business as | East Point Grady Health Center Pharmacy |
| Authorized official | Hallman, Val |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Feb 10th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174538722 | NPPES |
| Other | 2131149 | PK | |
| MEDICAID | 937307I | PK |
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