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Organization

VALDOSTA 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
KAY NORTON RPH (PHARMACY DIRECTOR)
(229) 333-7943
Entity
Organization

Contact information

Practice address
3259 VAL TECH RD, VALDOSTA, GA 31602-9309
(229) 333-7943
(229) 333-7966
Mailing address
PO BOX 310, VALDOSTA, GA 31603-0310
(229) 333-7943
(229) 333-7966

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHPR003519
GA

Other

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