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Organization
FEDERAL CORRECTIONAL INSTITUTE
Active
Organization
FEDERAL CORRECTIONAL INSTITUTE
Active
Other names
FCI Morgantown
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI RODRIGUEZ (CHIEF PHARMACIST)
(304) 284-4397
Entity
Organization
Contact information
Practice address
446 GREENBAG RD, MORGANTOWN, WV 26501-7159
(304) 284-4397
(304) 284-3615
Mailing address
446 GREENBAG RD, MORGANTOWN, WV 26501-7159
(304) 284-4397
(304) 284-3615
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5055644
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/13/2012
Last updated
03/13/2012
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