Provider Demographics
NPI:1003227711
Name:HEADLAND PHARMACY
Entity Type:Organization
Organization Name:HEADLAND PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MARGOT
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GARRICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:404-226-6300
Mailing Address - Street 1:2925 HEADLAND DR
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-1906
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2925 HEADLAND DR
Practice Address - Street 2:SUITE 2000
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-1906
Practice Address - Country:US
Practice Address - Phone:404-226-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty