# VALDOSTA STATE PRISON REGIONAL PHARMACY

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

## Provider details

- **NPI number:** 1972094134
- **Legal business name:** GEORGIA DEPARTMENT OF CORRECTIONS
- **Authorized official:** KAY NORTON RPH (PHARMACY DIRECTOR)
- **Authorized official phone:** (229) 333-7943

## Contact information

- **Practice address:** 3259 VAL TECH RD, VALDOSTA, GA 31602-9309
- **Practice address phone:** (229) 333-7943
- **Practice address fax:** (229) 333-7966
- **Mailing address:** PO BOX 310, VALDOSTA, GA 31603-0310
- **Mailing address phone:** (229) 333-7943
- **Mailing address fax:** (229) 333-7966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | PHPR003519 | GA | Yes |

## Other

- **Enumeration date:** 05/23/2018
- **Last updated:** 05/23/2018