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Organization
CITY REXALL DRUGS II INC
Active
Organization
CITY REXALL DRUGS II INC
Active
Other names
CITY REXALL DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PISARICH (PHARMACIST)
(228) 861-5076
Entity
Organization
Contact information
Practice address
349 S MAIN ST, PICAYUNE, MS 39466-4415
(601) 798-4761
(601) 798-4761
Mailing address
349 S MAIN ST, PICAYUNE, MS 39466-4415
(601) 798-4761
(601) 798-4761
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00179/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00045063
—
MS
01
—
2043348
PK
—
Enumeration date
07/22/2006
Last updated
04/21/2025
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