Augusta State Medical Prison

NPI #1902397151 in Grovetown, Georgia

Provider Information

NPI Number
1902397151
Entity Type
Organization
Organization Name
Augusta State Medical Prison
Subpart
Yes (part of a larger organization)
Parent Organization
GEORGIA DEPARTMENT OF CORRECTIONS
Primary Specialty
Pharmacy - Institutional Pharmacy
Enumeration Date
May 23, 2018
Last Updated
May 23, 2018

Practice Location

Address
3001 GORDON HWY
State
Georgia
ZIP Code
30813-3808
Phone
(706) 855-4744

Authorized Official

Name
DR. ELAINE REIFINGER, PHARMD
Title
PHARMACY DIRECTOR
Phone
(706) 855-4789

Specialties & Taxonomy Codes

Specialty
Pharmacy - Institutional PharmacyInstitutional Pharmacy

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