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Organization

FEDERAL CORRECTIONAL INSTITUTION ASHLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA DENISE PORTER (CHEIF PHARMACIST)
(606) 928-6414
Entity
Organization

Contact information

Practice address
STATE ROUTE 716, ASHLAND, KY 41102-0888
(606) 928-6414
(606) 929-4392
Mailing address
PO BOX 888, ASHLAND, KY 41105-0888
(606) 928-6414
(606) 929-4392

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
02/20/2009
Last updated
02/20/2009
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