Provider First Line Business Practice Location Address:
GRADY OUT PATIENT PHARMACY, GRADY HEALTH SYSTEMS
Provider Second Line Business Practice Location Address:
80, JESSIE HILL JR DR
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-616-0368
Provider Business Practice Location Address Fax Number:
404-616-8651
Provider Enumeration Date:
09/30/2005