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Organization
BRICK CITY DRUGS, LLC
Active
Organization
BRICK CITY DRUGS, LLC
Active
Other names
Brick City Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HEGI (OWNER)
(769) 231-1400
Entity
Organization
Contact information
Practice address
159 FOUNTAINS BLVD, MADISON, MS 39110
(601) 859-8200
(601) 859-8201
Mailing address
159 FOUNTAINS BLVD, STE A, MADISON, MS 39110-0000
(769) 231-1400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
16750/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175223
PK
—
Enumeration date
01/11/2018
Last updated
02/18/2019
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