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Organization

AUGUSTA STATE MEDICAL PRISON

Active
Parent organization
GEORGIA DEPARTMENT OF CORRECTIONS
Organization subpart
Yes

Provider details

NPI number
Legal business name
GEORGIA DEPARTMENT OF CORRECTIONS
Authorized official
DR. ELAINE REIFINGER PHARMD (PHARMACY DIRECTOR)
(706) 855-4789
Entity
Organization

Contact information

Practice address
3001 GORDON HWY, GROVETOWN, GA 30813-3808
(706) 855-4744
(706) 869-7990
Mailing address
3001 GORDON HWY, GROVETOWN, GA 30813-3808
(706) 855-4744
(706) 869-7990

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHH006083
GA

Other

Enumeration date
05/23/2018
Last updated
05/23/2018
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