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Organization
FCI GILMER
Active
Organization
FCI GILMER
Active
Parent organization
FEDERAL BUREAU OF PRISONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FEDERAL BUREAU OF PRISONS
Authorized official
MACY NICHOLE GREGORY PHARMD (CHIEF PHARMACIST)
(304) 626-2549
Entity
Organization
Contact information
Practice address
201 FCI LN, GLENVILLE, WV 26351-9500
(304) 626-2549
Mailing address
201 FCI LN, GLENVILLE, WV 26351-9500
(304) 626-2549
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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