Department of Behavioral Health and Developmental Disabilities

NPI #1861505430 in Milledgeville, Georgia

Provider Information

NPI Number
1861505430
Entity Type
Organization
Organization Name
Department of Behavioral Health and Developmental Disabilities
Primary Specialty
Pharmacy - Institutional Pharmacy
Enumeration Date
Aug 16, 2006
Last Updated
Sep 15, 2011

Practice Location

Address
325 LAWRENCE RD
Address 2
CENTRAL STATE HOSPITAL
State
Georgia
ZIP Code
31062-7525
Phone
(478) 445-4041

Authorized Official

Name
DR. LARRY LATHAM
Title
REGIONAL HOSPITAL ADMINISTRATOR
Phone
(478) 445-4128

Specialties & Taxonomy Codes

Specialty
Pharmacy - Institutional PharmacyInstitutional Pharmacy

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