# MAXI DRUG SOUTH LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BROOKS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669572095
- **Authorized official:** JOYCE FRANCO (LICENSING SUPERVISOR)
- **Authorized official phone:** (401) 468-2840

## Contact information

- **Practice address:** 10 COVENTRY SHOPPERS PARK, COVENTRY, RI 02816-5702
- **Practice address phone:** (401) 828-3230
- **Practice address fax:** (401) 821-7150
- **Mailing address:** 50 SERVICE AVE, WARWICK, RI 02886-1021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHA00307 | RI | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4105056 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | MD11348 | — | RI |