Northside Hospital, Inc.

Long Term Care Pharmacy



  
  650 Professional Dr, Lawrenceville
Georgia, 30046-8707

 678-442-3642    770-442-3066
Northside Hospital, Inc. is a Long Term Care Pharmacy in Lawrenceville, Georgia. It is located at 650 Professional Dr, Lawrenceville and it's customer support contact number is 678-442-3642. The authorized person of Northside Hospital, Inc. is Judy Gardner, PHARMD, FASHP who is Director, Pharmaceutical Services of the pharmacy and his contact number is 404-851-6793.
Northside Hospital, Inc. is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.


Pharmacy Details:
Northside Hospital, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Northside Hospital, Inc.
Type: Long Term Care Pharmacy
Location:650 Professional Dr, Lawrenceville,
Georgia, 30046-8707
Phone:678-442-3642
Fax:770-442-3066
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Judy Gardner
Credentials: PHARMD, FASHP
Position: Director, Pharmaceutical Services
Contact Number: 404-851-6793
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1437134970
NPI Enumeration Date: 07 Dec, 2005
NPI Last Update On: 10 Nov, 2020

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northside Hospital, Inc. are as mentioned below.
SpecializationLicense NumberStateStatus
Long Term Care Pharmacy Primary
General Acute Care Hospital PHRE008388GeorgiaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1147215OtherGeorgiaNabp Or Ncpdp
866291AMedicaidGeorgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1000 Johnson Ferry Road, Attn: Judy Gardner
Atlanta, Georgia
Zip: 30342-1616
Phone Number: 404-851-6793
Fax Number: 404-851-8610
Patients can reach Northside Hospital, Inc. at 650 Professional Dr, Lawrenceville, Georgia or can call on customer care at 678-442-3642.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.