Autry State Prison Pharmacy
Autry State Prison Pharmacy is an Institutional Pharmacy in Pelham, Georgia. Licensed in Georgia. Registered with an NPI since 2018.
- Licensed in
- GA
- In the registry since
- 2018
Practice location Address checks out
3178 Mount Zion Church RdPelham, GA 31779
Phone: (229) 294-6786
Fax: (229) 294-6788
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Institutional Pharmacy (primary) | Taxonomy 3336I0012X · Licence PHPR007470 (GA) |
|---|
Record details
| NPI number | 1831689728 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Georgia Department of Corrections |
| Authorized official | Deena Gainous — Pharmacy Director · (229) 294-6786 |
| NPI enumerated | May 16, 2018 |
| Last updated in NPPES | May 23, 2018 |
| Mailing address | Po Box 648, Pelham, GA 31779-0648 |