Autry State Prison Pharmacy

LBN: Autry State Prison Pharmacy
Autry State Prison Pharmacy is an health care organization with primary practice located at 3178 Mount Zion Church Rd , Pelham GA 31779. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Autry State Prison Pharmacy can be contacted via phone (229) 294-6786, or through Gainous, Deena Jones via phone (229) 294-6786.

Contact Information

Primary practice address
3178 Mount Zion Church Rd Pelham GA 31779
Phone: (229) 294-6786
Fax: (229) 294-6788
Website:
Map and Directions
Authorized official contact:
Name: Gainous, Deena Jones PHARMD
Phone: (229) 294-6786

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X PHPR007470 Georgia

Profile Details

NPI number 1831689728
LBN Legal business name Autry State Prison Pharmacy
DBA Doing business as
Authorized official Gainous, Deena Jones PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date May 16th, 2018
Last updated May 23rd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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