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Organization

FEDERAL BUREAU OF PRISONS

Active
Parent organization
FEDERAL BUREAU OF PRISONS
Other names
Central Fill and Distribution (CFAD)-Pollock Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
FEDERAL BUREAU OF PRISONS
Authorized official
KELLIE WILLIAMS (CHIEF PHARMACIST)
(318) 765-4482
Entity
Organization

Contact information

Practice address
1000 AIRBASE RD., POLLOCK, LA 71467-3521
(318) 765-4482
(318) 765-4459
Mailing address
1000 AIRBASE RD., POLLOCK, LA 71467-3521
(318) 765-4482
(318) 765-4459

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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