North Dekalb Health Center Pharmacy
LBN: Grady Memorial Hospital Corporation
North Dekalb Health Center Pharmacy is an health care organization with primary practice located at 3807 Clairmont Rd , Chamblee GA 30341-4911. 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) 616-3031, or through Hallman, Valaura via phone (404) 616-3576.
Contact Information
Primary practice address
3807 Clairmont Rd
Chamblee GA 30341-4911
Phone: (404) 616-3031
Fax: (404) 616-3094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 007772 | Georgia |
Profile Details
| NPI number | 1700891355 |
|---|---|
| LBN Legal business name | Grady Memorial Hospital Corporation |
| DBA Doing business as | North Dekalb Health Center Pharmacy |
| Authorized official | Hallman, Valaura RPH |
| 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 | 1700891355 | NPPES |
| Other | 2131379 | PK | |
| MEDICAID | 937307B | PK |
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