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Contact Information

GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY
2978 HIGHWAY 36 W
JACKSON, GA30233-6150
 Phone: 770-504-2010
 Fax: 770-504-2256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY

NPI Number 1689165482
LBN Legal business name GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY
Authorized official CYNTHIA ABRAMS - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/29/2018
Last updated 05/29/2018 - About 8 years ago
Identifiers
GA License # PHPR003513
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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