# CITY REXALL DRUGS II INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CITY REXALL DRUGS INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720009772
- **Authorized official:** STEPHEN PISARICH (PHARMACIST)
- **Authorized official phone:** (228) 861-5076

## Contact information

- **Practice address:** 349 S MAIN ST, PICAYUNE, MS 39466-4415
- **Practice address phone:** (601) 798-4761
- **Practice address fax:** (601) 798-4761
- **Mailing address:** 349 S MAIN ST, PICAYUNE, MS 39466-4415
- **Mailing address phone:** (601) 798-4761
- **Mailing address fax:** (601) 798-4761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 00179/1.1 | MS | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 04/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00045063 | — | MS |
| 01 | — | 2043348 | PK | — |