# BRENTS DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508936683
- **Authorized official:** RANDY CALVERT (PRESIDENT)
- **Authorized official phone:** (601) 366-1012

## Contact information

- **Practice address:** 655 DULING AVE, JACKSON, MS 39216-4008
- **Practice address phone:** (601) 366-3428
- **Practice address fax:** (601) 366-0263
- **Mailing address:** 655 DULING AVE, JACKSON, MS 39216-4008
- **Mailing address phone:** (601) 366-1012
- **Mailing address fax:** (601) 366-0263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 00743011 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 12/14/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0035394 | — | MS |
| 01 | — | 2504555 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |