Georgia State Prison Regional Pharmacy

LBN: Georgia State Prison Regional Pharmacy
Georgia State Prison Regional Pharmacy is an health care organization with primary practice located at 300 1St Ave S , Reidsville GA 30453-9304. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Georgia State Prison Regional Pharmacy can be contacted via phone (912) 557-7960, or through Clark, Benjamin via phone (912) 557-7960.

Contact Information

Primary practice address
300 1St Ave S Reidsville GA 30453-9304
Phone: (912) 557-7960
Fax: (912) 557-7975
Website:
Map and Directions
Authorized official contact:
Name: Clark, Benjamin
Phone: (912) 557-7960

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X PHH005792 Georgia

Profile Details

NPI number 1184115321
LBN Legal business name Georgia State Prison Regional Pharmacy
DBA Doing business as
Authorized official Clark, Benjamin
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 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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