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11D0874405 CLIA NUMBER - BWS A MAJOR MANAGEMENT SYSTEMS INCOPORATE DBA SCOTTS PHARMACY 1

Laboratory Demographics

CLIA Number: 11D0874405

Facility Name: BWS A MAJOR MANAGEMENT SYSTEMS INCOPORATE DBA SCOTTS PHARMACY 1

Facility Address:
635 PIO NONO AVENUE
MACON, GA
ZIP 31204
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Facility Phone Number: 478 714-9669

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1619530664

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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.

CLIA Record

Field Name Field Value
CLIA Number 11D0874405
LAB Type Pharmacy
Facility Name BWS A MAJOR MANAGEMENT SYSTEMS INCOPORATE DBA SCOTTS PHARMACY 1
Street 635 PIO NONO AVENUE
City MACON
State GA
ZIP 31204
Phone 478 714-9669
CertificateType 4
CertificateEffectiveDate 8/6/2023
CertificateExpirationDate 8/5/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024