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Organization
FCI JESUP
Active
Organization
FCI JESUP
Active
Parent organization
FEDERAL BUREAU OF PRISONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FEDERAL BUREAU OF PRISONS
Authorized official
DR. PATRICK TULLY (CHIEF PHARMACIST)
(912) 427-0870
Entity
Organization
Contact information
Practice address
2600 HIGHWAY 301 SOUTH, JESUP, GA 31599-0001
(912) 427-0870
Mailing address
2600 HIGHWAY 301 SOUTH, JESUP, GA 31599-0001
(912) 427-0870
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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