Healthcare Provider Details

I. General information

NPI: 1619530664
Provider Name (Legal Business Name): BWS MAJOR MANAGEMENT SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 PIO NONO AVE
MACON GA
31204-3531
US

IV. Provider business mailing address

PO BOX 2267
MACON GA
31203-2267
US

V. Phone/Fax

Practice location:
  • Phone: 478-742-3098
  • Fax: 478-750-8575
Mailing address:
  • Phone: 478-742-3098
  • Fax: 478-750-8575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRYAN SCOTT
Title or Position: OWNER
Credential: PHARMD
Phone: 478-742-3098