Organization
GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON 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. CYNTHIA ABRAMS PHARMD (PHARMACY DIRECTOR)
(770) 504-2010
Entity
Organization
Contact information
Practice address
2978 HIGHWAY 36 W, JACKSON, GA 30233-6150
(770) 504-2010
(770) 504-2256
Mailing address
PO BOX 3877, JACKSON, GA 30233-0078
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHPR003513
GA
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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