Department of Behavioral Health and Developmental Disabilities

NPI #1992036909 in Gracewood, Georgia

Provider Information

NPI Number
1992036909
Entity Type
Organization
Organization Name
Department of Behavioral Health and Developmental Disabilities
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jan 15, 2010
Last Updated
May 20, 2015

Practice Location

Address
100 MYRTLE BLVD
State
Georgia
ZIP Code
30812-1500
Phone
(706) 790-2496

Authorized Official

Name
MR. PAUL BROCK
Title
REGIONAL HOSPITAL ADMINISTRATOR
Phone
(706) 790-2030

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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