# GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GEORGIA DEPARTMENT OF CORRECTIONS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689165482
- **Legal business name:** GEORGIA DEPARTMENT OF CORRECTIONS
- **Authorized official:** DR. CYNTHIA ABRAMS PHARMD (PHARMACY DIRECTOR)
- **Authorized official phone:** (770) 504-2010

## Contact information

- **Practice address:** 2978 HIGHWAY 36 W, JACKSON, GA 30233-6150
- **Practice address phone:** (770) 504-2010
- **Practice address fax:** (770) 504-2256
- **Mailing address:** PO BOX 3877, JACKSON, GA 30233-0078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | PHPR003513 | GA | Yes |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 05/29/2018