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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00521221A
—
GA
05
—
00521221B
—
GA
01
—
1138278
NCPDP
GA
01
—
PHRE007469
BOARD OF PHARMACY
GA
Enumeration date
07/09/2006
Last updated
03/07/2023
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