National Provider Identifier Database

GEORGIA STATE PRISON REGIONAL PHARMACY
Institutional Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

GEORGIA STATE PRISON REGIONAL PHARMACY
300 1ST AVE S
REIDSVILLE, GA30453-9304
Phone: 912-557-7960
Fax: 912-557-7975
Website:
Specialty Taxonomy Code
* Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for GEORGIA STATE PRISON REGIONAL PHARMACY

NPI Number 1184115321
Legal business name
LBN
GEORGIA STATE PRISON REGIONAL PHARMACY
Authorized official BENJAMIN CLARK - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 05/23/2018
Last updated 05/23/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHH005792

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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