| NPI | 1801417480 |
|---|---|
| Doing Business As | NORTHSIDE HOSPITAL GWINNETT OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUDY GARDNER Director, Pharmaceutical Services 404-851-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2021-08-17 |