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MACON STATE PRISON REGIONAL PHARMACY NPI 1316438393


NPI Information

NPI: 1316438393
Provider Name: MACON STATE PRISON REGIONAL PHARMACY
Classification: Pharmacy - 3336I0012X
Entity Type: Organization

Specialization: Institutional Pharmacy

CLIA Number: 11D2259137

Address:
2728 GA HIGHWAY 49 S
OGLETHORPE, GA
ZIP 31068
Phone: (478) 472-3639
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MACON STATE PRISON REGIONAL PHARMACY is an institutional pharmacy pharmacy in Oglethorpe, GA. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MACON STATE PRISON REGIONAL PHARMACY NPI is 1316438393. The provider is registered as an organization entity type.

The provider's business location address is:

2728 GA HIGHWAY 49 S
OGLETHORPE, GA
ZIP 31068-129
Phone: (478) 472-3639
Fax: (478) 472-3640

The provider's authorized official is Shawn Law .
The authorized official title is Pharmacy Director and has the following contact phone number (478) 472-3639.

The CLIA number assigned to this NPI record is 11D2259137 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 5/24/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336I0012XPharmacyInstitutional PharmacyPHPR007682GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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