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NPI 1902397151

OrganizationActive

Augusta State Medical Prison

NPI 1902397151 · Institutional Pharmacy · Grovetown, GA

Provider details

NPI number: 1902397151
Entity type: Organization
Primary specialty: Institutional PharmacySuppliers
Parent organization: Georgia Department of Corrections
Authorized official: Elaine Reifinger, Pharmacy Director
License: PHH006083 (GA)

Practice location

3001 Gordon Hwy

Grovetown, GA 30813-3808

Phone: (706) 855-4744

Fax: (706) 869-7990

More GA providers

Mailing address

3001 Gordon Hwy

Grovetown, GA 30813-3808

Registry dates

Enumerated: 2018-05-23
Last updated: 2018-05-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Augusta State Medical Prison — NPI 1902397151, Grovetown, GA | NPI Central