# BRICK CITY DRUGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brick City Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467960484
- **Authorized official:** JOHN HEGI (OWNER)
- **Authorized official phone:** (769) 231-1400

## Contact information

- **Practice address:** 159 FOUNTAINS BLVD, MADISON, MS 39110
- **Practice address phone:** (601) 859-8200
- **Practice address fax:** (601) 859-8201
- **Mailing address:** 159 FOUNTAINS BLVD, STE A, MADISON, MS 39110-0000
- **Mailing address phone:** (769) 231-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 16750/1.1 | MS | Yes |

## Other

- **Enumeration date:** 01/11/2018
- **Last updated:** 02/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2175223 | PK | — |