| NPI | 1437134970 |
|---|---|
| Doing Business As | NORTHSIDE GWINNETT EXTENDED CARE CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUDY GARDNER Director, Pharmaceutical Services 404-851-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: GA PHRE008388) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-11-10 |