Organization
MACON STATE PRISON REGIONAL PHARMACY
Active
Parent organization
GEORGIA DEPARTMENT OF CORRECTIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DEPARTMENT OF CORRECTIONS
Authorized official
DR. SHAWN LAW PHARMD (PHARMACY DIRECTOR)
(478) 472-3639
Entity
Organization
Contact information
Practice address
2728 GA HIGHWAY 49 S, OGLETHORPE, GA 31068-8129
(478) 472-3639
(478) 472-3640
Mailing address
PO BOX 426, OGLETHORPE, GA 31068-0426
(478) 472-3639
(478) 472-3640
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHPR007682
GA
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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