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Organization
J.BRYAN, INC
Active
Organization
J.BRYAN, INC
Active
Other names
Scott's Pharmacy # 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE W SCOTT R.PH. (PHARMACIST/PRESIDENT)
(478) 741-3718
Entity
Organization
Contact information
Practice address
900 GRAY HWY, MACON, GA 31211-1834
(478) 741-3718
(478) 741-6559
Mailing address
PO BOX 2267, MACON, GA 31203-2267
(478) 741-3718
(478) 741-6559
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009369
GA
3336S0011X
Specialty Pharmacy
PHRE009369
GA
Other
Enumeration date
07/09/2006
Last updated
03/07/2023
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